CAJ | 학술논문

目的观察补肾化浊胶囊对糖尿病肾病的治疗作用.方法将162例糖尿病肾病患者随机分为两组,两组均给予控制饮食、控制血糖、控制血压等常规治疗,对照组给予洛汀新口服,治疗组给予补肾化浊胶囊口服制剂,连用3个月,比较两组治疗前后的中医症候积分、尿蛋白、血脂、血清一氧化氮(NO) 、血清C-反应蛋白(CRP)的变化.结果两组治疗后中医症状积分变化比较,差异有统计学意义(P＜0.05);治疗后,两组尿白蛋白排泄率、24h尿蛋白定量均减少,差异无统计学意义(P＞0.05);治疗组血清胆固醇(TC)、三酰甘油(TG)及CRP水平降低,NO水平升高,与治疗前比较均有统计学意义(P＜0.05),两组治疗后的TC、TG、CRP、NO水平比较有统计学意义(P＜0.05);两组临床疗效比较差异无统计学意义(P＞0.05).结论补肾化浊胶囊可改善糖尿病肾病的临床症状,通过降低尿蛋白、抑制肾脏内炎症反应、升高血清NO、改善脂代谢异常实现对肾脏的保护作用.
목적 관찰보신화탁효낭대당뇨병신병적치료작용.방법 장162례당뇨병신병환자수궤분위량조,량조균급여공제음식、공제혈당、공제혈압등상규치료,대조조급여락정신구복,치료조급여보신화탁효낭구복제제,련용3개월,비교량조치료전후적중의증후적분、뇨단백、혈지、혈청일양화담(NO) 、혈청C-반응단백(CRP)적변화.결과 량조치료후중의증상적분변화비교,차이유통계학의의(P＜0.05);치료후,량조뇨백단백배설솔、24h뇨단백정량균감소,차이무통계학의의(P＞0.05);치료조혈청담고순(TC)、삼선감유(TG)급CRP수평강저,NO수평승고,여치료전비교균유통계학의의(P＜0.05),량조치료후적TC、TG、CRP、NO수평비교유통계학의의(P＜0.05);량조림상료효비교차이무통계학의의(P＞0.05).결론 보신화탁효낭가개선당뇨병신병적림상증상,통과강저뇨단백、억제신장내염증반응、승고혈청NO、개선지대사이상실현대신장적보호작용.
Objective To observe the clinical efficacy of Bushen Huazhuo Capsule for the patients with diabetic nephropathy.Methods Totally 162 patients with diabetic nephropathy were divided as control group and trial group. All the patients were given conventional treatments of controlling diet,blood sugar and blood pressure. The patients in the control group were orally given Lotesin,while the patients in the trial group were given Bushen Huazhuo Capsule for 3 months. Then a comparison was conducted between the two groups on the Chinese medicine symptom integral,and the changes of urine protein,lipids,serum nitric oxide (NO),and serum C-reactive protein (CRP).Results After treatment,the difference in Chinese medicine symptom integral between the two groups was statistically significant (P＜0.05). But there was no significant difference between the two groups in excretion rate of urine protein and 24h urine protein (P＞0.05). The levels of total cholesterol (TC),triglyceride (TG) and CRP decreased,and the NO level increased (P＜0.05). The levels of TC,TG,CRP,and NO after treatment between the two groups showed significant difference (P＜0.05),but the clinical effects showed no significant difference (P＞0.05). Conclusion Bushen Huazhuo capsule can improve the clinical symptoms of diabetic nephropathy to protect the kidney by lowering urine protein,controlling inflammation reaction of the kidney,raising serum NO and improving metabolic disorder of blood-lipid.