益肾解毒通络胶囊治疗糖尿病肾病疗效观察及对炎症因子的影响
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R587.2

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Observation on Curative Effect of Yishen Jiedu Tongluo Capsules on Diabetic Nephropathy and Its Effect on Inflammatory Factors
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    摘要:

    目的:观察益肾解毒通络胶囊治疗糖尿病肾病(DN) 的临床疗效及对炎症因子水平的影响。方 法:选取DN 患者116 例,按照随机数字表法分为对照组和研究组各58 例,对照组给予饮食、运动、降糖及 厄贝沙坦片治疗,研究组在对照组的基础上加用益肾解毒通络胶囊治疗。比较2 组临床疗效、血糖指标[空腹 血糖(FBG)、餐后2 h 血糖(P2hBG)]、肾功能指标[尿素氮(BUN)、血肌酐(SCr)、24 h 尿蛋白定 量(24hUPro)]、血脂指标[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋 白胆固醇(HDL-C) ]、炎症因子[肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)、C-反应蛋 白(CRP)] 水平。结果:研究组总有效率为96.6%,对照组为77.6%,2 组比较,差异有统计学意义(P< 0.05)。治疗后,2 组FBG、P2hBG、BUN、SCr、24hUPro 水平均较治疗前降低(P<0.05),且研究组上述 5 项指标均低于对照组(P<0.05)。治疗后,2 组TG、TC、LDL-C 水平均较治疗前降低(P<0.05),HDL-C 水平较治疗前升高(P<0.05),且研究组上述各项指标改善较对照组更显著(P<0.05)。治疗后,2 组 IL-6、hs-CRP、TNF-α 水平均较治疗前降低(P<0.05),且研究组上述各项指标均低于对照组(P<0.05)。 结论:DN 患者采用益肾解毒通络胶囊治疗效果显著,可有效降低炎症因子及血糖、血脂水平,改善肾功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Yishen Jiedu Tongluo Capsules on the treatment of diabetic nephropathy (DN) and its effect on the levels of inflammatory factors. Methods: A total of 116 DN patients were selected and divided into the control group and the study group according to random number table method, with 58 cases in each group. The control group was treated with diet, exercise, hypoglycemic and Irbesartan Tablets, and the study group was additionally treated with Yishen Jiedu Tongluo Capsules based on the treatment of the control group. The clinical effects and the levels of blood glucose indexes, including fasting blood glucose (FBG) and postprandial 2- hour blood glucose (P2hBG), kidney function indexes,including blood urea nitrogen (BUN),serum creatinine (SCr) and 24-hour urinary protein (24hUPro), blood lipid indexes, including triglycerides (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL- C) and high density lipoprotein cholesterol (HDL- C), and inflammatory factors, including tumor necrosis factor- α (TNF- α), interleukin- 6 (IL- 6) and C- reactive protein (CRP) were compared in the two groups. Results:The total effect rate was 96.6% in the study group and 77.6% in the control group,the difference being significant between the two groups (P<0.05). After treatment, the levels of FBG,P2hBG,BUN,SCr and 24hUPro in the two groups were decreased when compared with those before treatment (P<0.05),and the above five levels in the study group were lower than those in the control group (P<0.05). After treatment,the levels of TG,TC and LDL- C in the two groups were decreased when compared with those before treatment (P<0.05),and the HDL-C levels were increased when compared with those before treatment (P<0.05), and the improvement of the above levels in the study group was more significant than that in the control group (P<0.05). After treatment, the levels of IL-6,hs-CRP and TNF-α in the two groups were decreased when compared with those before treatment (P<0.05),and the above levels in the study group were lower than those in the control group (P<0.05). Conclusion:Yishen Jiedu Tongluo Capsules has a significant therapeutic effect on DN patients,which can effectively reduce the levels of inflammatory factors blood glucose and and blood lipid,improve the kidney function.

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范栋晨,麻丽娜,孙新宇.益肾解毒通络胶囊治疗糖尿病肾病疗效观察及对炎症因子的影响[J].新中医,2023,55(8):86-90

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  • 在线发布日期: 2023-04-25
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