中国血液流变学杂志2024,Vol.33Issue(3) :381-384,422.DOI:10.3969/j.issn.1009-881X.2024.03.010

非奈利酮通过改善血清炎性反应和肾功能治疗糖尿病肾病的研究

Study on the Treatment of Diabetic Nephropathy with Finelidone by Improving Serum Inflammatory Response and Renal Function

王颜彩 龚广欣 李蕊
中国血液流变学杂志2024,Vol.33Issue(3) :381-384,422.DOI:10.3969/j.issn.1009-881X.2024.03.010

非奈利酮通过改善血清炎性反应和肾功能治疗糖尿病肾病的研究

Study on the Treatment of Diabetic Nephropathy with Finelidone by Improving Serum Inflammatory Response and Renal Function

王颜彩 1龚广欣 1李蕊1
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作者信息

  • 1. 许昌市中心医院血液净化中心,河南 许昌 461000
  • 折叠

摘要

目的 探讨非奈利酮通过改善机体炎症状态和肾功能指标而治疗糖尿病肾病的疗效及安全性.方法 选取2021年1月—2024年1月于许昌市中心医院就诊的72 例糖尿病肾病患者,按随机数字表法分为对照组和研究组,每组36 例.对照组予常规治疗,研究组在对照组基础上加用非奈利酮.比较两组治疗前后血肌酐(Scr)、尿白蛋白/肌酐比值(ACR)、血清白细胞介素-6(IL-6)、血清肿瘤坏死因子-α(TNF-α)、总有效率.结果 治疗12 周后,研究组Scr、ACR、IL-6、TNF-α水平均显著低于对照组,研究组总有效率80.56%,高于对照组55.56%的总有效率.以上差异均有统计学意义(P<0.05).结论 非奈利酮能够通过抑制机体的炎症反应而改善糖尿病肾病患者的肾功能和临床症状,且安全性良好.联合常规治疗使用非奈利酮能够为糖尿病肾病患者带来更佳的获益,从而延缓病程进展,改善远期预后,值得在临床上推广应用.

Abstract

Objective To investigate the efficacy and safety of Finelidone in treating diabetic nephropathy by ameliorating the body's inflammatory state and renal function indicators.Methods 72 patients with diabetic nephropathy who visited the Blood Purification Center of Xuchang Central Hospital from January 2021 to January 2024 were randomly divided into a control group and a study group,with 36 cases in each group.The control group received conventional treatment,while the study group was additionally administered Finelidone on the basis of the control group's regimen.Serum creatinine(Scr),urinary albumin-to-creatinine ratio(ACR),serum interleukin-6(IL-6),serum tumor necrosis factor-α(TNF-α),and overall effective rate were compared between the two groups before and after treatment.Results After 12 weeks of treatment,the study group exhibited significantly lower levels of Scr,ACR,IL-6,and TNF-α than the control group,with an overall effective rate of 80.56%higher than the control group's overall effective rate of 55.56%.These differences were statistically significant(P<0.05).Conclusion Finelidone ameliorates renal function and clinical symptoms in patients with diabetic nephropathy by suppressing the body's inflammatory response and demonstrates good safety.The adjunctive use of Finelidone with conventional treatment can confer greater benefits to patients with diabetic nephropathy,thereby decelerating disease progression and improving long-term prognosis,warranting its promotion in clinical practice.

关键词

非奈利酮/糖尿病肾病/肾功能/炎性反应

Key words

Finelidone/diabetic nephropathy/kidney function/inflammatory response

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出版年

2024
中国血液流变学杂志
中国生物医学工程学会,苏州大学

中国血液流变学杂志

影响因子:0.391
ISSN:1009-881X
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