首页|氯沙坦钾与贝前列素钠联合应用于早期糖尿病肾病患者中的效果研究

氯沙坦钾与贝前列素钠联合应用于早期糖尿病肾病患者中的效果研究

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目的 分析氯沙坦钾与贝前列素钠联合治疗早期糖尿病肾病(DN)患者的效果。方法 102 例早期DN患者,使用随机数字表法分为对照组(51 例)与研究组(51 例)。对照组使用氯沙坦钾治疗,研究组在对照组基础上应用贝前列素钠治疗。比较两组患者的疗效、肾功能指标[血肌酐(SCr)、尿素氮(BUN)与血尿酸(BUA)]以及不良反应发生情况。结果 研究组患者的治疗总有效率96。08%较对照组的 80。39%高(χ2=6。044,P=0。014<0。05)。治疗前,两组SCr、BUN、BUA水平对比,结果无差异性(P>0。05);治疗 12 周后,研究组SCr(105。65±24。47)μmol/L、BUN(7。28±1。52)mmol/L、BUA(448。27±29。60)μmol/L均较对照组的(141。70±26。68)μmol/L、(8。70±1。98)mmol/L、(486。19±30。57)μmol/L低(t=7。111、4。063、6。364,P=0。000、0。000、0。000<0。05)。两组不良反应发生率比较,结果无差异性(χ2=0。543,P=0。461>0。05)。结论 氯沙坦钾与贝前列素钠联合治疗早期DN效果确切,能够有效改善患者的肾功能,安全性较为理想,适于临床应用。
Study on the effect of losartan potassium combined with beraprost sodium in patients with early diabetes nephropathy
Objective To analyze the effect of losartan potassium combined with beraprost sodium in patients with early diabetes nephropathy(DN).Methods 102 patients with early DN were divided into a control group(51 cases)and a study group(51 cases)using a random numerical table.The control group was treated with losartan potassium,while the study group was treated with beraprost sodium on the basis of the control group.The curative effect,renal function indexes[serum creatinine(SCr),blood urea nitrogen(BUN)and blood uric acid(BUA)]and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of treatment of 96.08%in the study group was higher than that of 80.39%in the control group(P<0.05).Before treatment,there was no difference in SCr,BUN and BUA levels between the two groups(P>0.05).After 12 weeks of treatment,SCr of(105.65±24.47)μmol/L,BUN of(7.28±1.52)mmol/L,BUA of(448.27±29.60)μmol/L in the study group were lower than those of(141.70±26.68)μmol/L,(8.70±1.98)mmol/L,(486.19±30.57)μmol/L in the control group(t=7.111,4.063,6.364;P=0.000,0.000<0.05).There was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Losartan potassium combined with beraprost sodium is effective in the treatment of early DN,and can effectively improve the renal function of patients.It is safe and suitable for clinical application.

Losartan potassiumBeraprost sodiumEarly diabetes nephropathyRenal function

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251600 商河县人民医院肾病内分泌科

氯沙坦钾 贝前列素钠 早期糖尿病肾病 肾功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(2)
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