首页|参芪降糖片联合胰岛素治疗脾肾两虚型早期糖尿病肾病的临床研究

参芪降糖片联合胰岛素治疗脾肾两虚型早期糖尿病肾病的临床研究

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目的 探讨参芪降糖片联合胰岛素治疗脾肾两虚型早期糖尿病肾病的临床研究。方法 选择2020年9月—2021年12月96例确诊为脾肾两虚型糖尿病肾病3期患者作为研究对象,采用随机数字法平均分为观察组与对照组两组:对照组给予胰岛素治疗方案,观察组在对照组基础上辅以参芪降糖片治疗。比较两组治疗前后中医证候评分差异,比较治疗4周后血糖控制情况、肾功能及实验室指标。结果 观察组总有效率91。67%(44/48)明显高于对照组74。00%(35/48),差异比较有统计学意义(P<0。05)。治疗后两组空腹血糖(Fasting blood glucose,FBG)、餐后2 h血糖(2 hours postprandial blood glucose,2 h PG)及糖化血红蛋白(Glycated hemoglobin,HbAlc)均较治疗前有明显降低(P<0。05);治疗后观察组FBG、2h PG及HbA1c均较对照组降低更明显(P<0。05)。治疗后两组患者尿微量白蛋白(Microalbumin,m-ALB)、尿白蛋白排泄率(Urinary albumin excretion rates,UAER)、β2 微球蛋白(β2 Microglobulin,β2-MG)及半胱氨酸蛋白酶抑制剂C(Cysteine protease inhibitor C,Cys-C)均较治疗前降低(P<0。05);治疗4周后观察组尿mAlb、UAER、β2-MG及Cys-C均低于对照组(P<0。05)。治疗后两组患者血管内皮生长因子(Vascular endothelial growth factor,VEGF)、血管紧张素转化酶(Angiotensin converting enzyme,ACE)及胰岛素样生长因子-1(Insulin-like growth factor-1,IGF-1)均较治疗前降低(P<0。05);治疗4周后观察组VEGF、ACE及IGF-1均低于对照组(P<0。05)。结论 参芪降糖片联合胰岛素治疗脾肾两虚型早期糖尿病肾病可以更好控制血糖,改善症状,且延缓或逆转肾损伤效果更明显。
Clinical Study on Shenqi Jiangtang Tablets(参芪降糖片)Combined with Insulin Alleviating Early Diabetic Nephropathy with Deficiency of Spleen and Kidney
Objective The current manuscript investigated the clinical activities of Shenqi Jiangtang Tablets(参芪降糖片)combined with insulin in the treatment of early diabetic nephropathy of deficiencyin spleen and kidney.Methods From September 2020 to December 2021,96 patients diagnosed as diabetic nephropathy in stage 3 due to deficiency of both spleen and kidney,and they were equally divided into the observation group and the control group with random number method.The control group was treated with insulin only,and the observation group was treated with insulin and Shenqi Jiangtang Tablets.The difference in TCM syndrome scores between the two groups before and after treatment was compared as well as the control of blood glucose,renal function and laboratory indexes four weeks after treatment.Results The total effective rate(91.67%)in the observation group was significantly higher than 74.00%in the control group with significance(P<0.05).After treatment,the levels of FBG,2 h PG and HbA1c in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the levels of urinary mAlb,UAER,β2-MG,Cys-C,mAlb,UAER,β2-MG and Cys-C in the two groups were lower than those before treatment(P<0.05).After treatment,the levels of VEGF,ACE and IGF-1 were all lower in the two groups than those before treatment(P<0.05).Four weeks after treatment,the levels of VEGF,ACE and IGF-1 in the observation group were lower than those in the control group(P<0.05).Conclusion Shenqi Jiangtang Tablets combined with insulin can significantly al-leviate the diabetic nephropathy with deficiency of spleen and kidney by stabilizing blood glucose and inhibiting kidney injury.

Shenqi Jiangtang Tablets(参芪降糖片)insulininsulin aspartdiabetic nephropathydeficiency of spleen and kidney

吴晓珲、吴锐谦、林沛良、吴煜、周神龙、何秀玲、冯婉枝、区觉璋

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暨南大学中医学院,广东广州 510632

暨南大学广州市中医方证重点实验室,广东广州 510632

广东省中医药信息化重点实验室,广东广州 510632

清水湾怡养康复医院,江西上饶 334000

上饶市中医院,江西上饶 334000

暨南大学附属江门中医院(五邑中医院),广东江门 529000

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参芪降糖片 胰岛素 门冬胰岛素 糖尿病肾病 脾肾两虚

广东省科技计划项目广州市科技计划项目

2021B1212040007202102010014

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(2)
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