肾衰宁片辅助西药治疗糖尿病肾脏病对糖脂代谢、肾功能及氧化应激反应的影响
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Effect of Shenshuaining Tablets Assisting Western Medicine on Glucose and Lipid Metabolism, Kidney Function and Oxidative Stress in the Treatment of Diabetic Kidney Disease
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    摘要:

    目的:观察肾衰宁片辅助西药治疗糖尿病肾脏病(DKD) 对糖脂代谢、肾功能及氧化应激反应的 影响。方法:将104例DKD患者按随机数字表法分为观察组与对照组各52例,最终观察组纳入51例(脱落 1例),对照组纳入50例(脱落2例)。对照级给予阿魏酸哌嗪片、氯沙坦钾片治疗,观察组在对照组基础上给 予肾衰宁片治疗。比较2 组临床疗效、血糖指标[空腹血糖(FBG)、餐后2 h 血糖(P2hBG)、糖化血红蛋 白(HbA1c) ]、血脂指标[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固 醇(HDL-C) ]、肾功能指标[血尿素氮(BUN)、血肌酐(SCr) 及胱抑素C (CysC) ]及氧化应激指标[丙二 醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-PX) ]水平。结果:治疗后,观察组总有效 率为94.12%,对照组为80.00%, 2 组比较, 差异有统计学意义(P<0.05)。治疗后, 2 组FBG、P2hBG、 HbA1c及TC、TG、LDL-C水平均较治疗前降低(P<0.05),HDL-C水平均较治疗前升高(P<0.05);且观察 组各项血糖指标及TC、TG、LDL-C水平均低于对照组(P<0.05),HDL-C水平高于对照组(P<0.05)。治疗 后,2组SCr、BUN、CysC水平均较治疗前降低(P<0.05),且观察组上述各项指标均低于对照组(P<0.05)。 治疗后,2组MDA水平均较治疗前降低(P<0.05),SOD、GSH-PX水平均较治疗前升高(P<0.05);且观察 组MDA水平低于对照组(P<0.05),SOD、GSH-PX水平均高于对照组(P<0.05)。结论:肾衰宁片辅助西药 治疗DKD疗效显著,可调节患者糖脂代谢,减轻氧化应激反应,改善肾功能。

    Abstract:

    Abstract: Objective: To observe the effect of Shenshuaining Tablets assisting western medicine on glucose and lipid metabolism, kidney function and oxidative stress in the treatment of diabetic kidney disease (DKD). Methods: A total of 104 DKD patients were divided into the observation group and the control group according to the random number table method, with 52 cases in each group. Finally, the observation group included 51 cases (one case dropped out),and the control group included 50 cases (two cases dropped out). The control group was treated with Piperazine Ferulate Tablets and Losartan Potassium Tablets, and the observation group was additionally treated with Shenshuaining Tablets based on the treatment of the control group. The clinical effects,and the levels of blood glucose indexes [fasting blood glucose (FBG), 2-hour postprandial blood glucose (P2hBG), glycated hemoglobin (HbA1c)], blood lipid indexes [total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), highdensity lipoprotein cholesterol (HDL-C)], kidney function indexes [blood urea nitrogen (BUN), serum creatinine (SCr),and cystatin C (CysC)],and oxidative stress indexes [malondialdehyde (MDA),superoxide dismutase (SOD), and glutathione peroxidase (GSH-PX)] were compared between the two groups. Results:After treatment,the total effective rate was 94.12% in the observation group,and 80.00% in the control group, the difference being significant (P<0.05). After treatment, the levels of FBG, P2hBG, HbA1c, TC, TG, and LDL-C in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of HDL-C were increased when compared with those before treatment (P<0.05);the blood glucose indexes and the levels of TC,TG,and LDL-C in the observation group were lower than those in the control group (P<0.05), and the HDL-C level was higher than that in the control group (P<0.05). After treatment, the levels of SCr, BUN, and CysC in the two groups were decreased when compared with those before treatment (P<0.05), and the above indexes in the observation group were lower than those in the control group (P<0.05). After treatment, the MDA levels in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of SOD and GSHPX were increased when compared with those before treatment (P<0.05); the MDA level in the observation group was lower than that in the control group (P<0.05),and the levels of SOD and GSH-PX were higher than those in the control group (P<0.05). Conclusion:The use of Shenshuaining Tablets as an adjunct treatment to western medicine for DKD has significant curative effects, which can regulate the patient's glucose and lipid metabolism,alleviate oxidative stress reactions,and improve kidney function.

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邵之红,周攀,何雨桦.肾衰宁片辅助西药治疗糖尿病肾脏病对糖脂代谢、肾功能及氧化应激反应的影响[J].新中医,2024,56(12):57-61

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  • 在线发布日期: 2024-06-28
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