CAJ | 학술논문

【目的】探讨参芎葡萄糖注射液联合胰激肽原酶肠溶片治疗早期糖尿病肾病的临床疗效。【方法】将2013年1月至2014年12月于中国医科大学附属第四医院肾内科住院治疗的72例糖尿病肾脏病患者随机分为对照组和治疗组,每组36例,其中对照组采用常规治疗方法和参芎葡萄糖注射液,治疗组在对照组基础上加用胰激肽原酶肠溶片治疗,3个月后,评价两组的血清肌酐(SCr)、尿素氮(BUN)、尿白蛋白排泄率(UAER)等改变情况及进行两组临床疗效的比较。【结果】两组治疗后 UAER 较治疗前明显下降,且差异性有显著性(P <0.05)；治疗组与对照组相比改善更为明显,且两组相比较差异性有显著性(P <0.05)。两组SCr,BUN 治疗前后相比较差异均无显著性(P >0.05)。治疗组总有效率为94.4%,明显高于对照组(83.3%),且两组比较差异有显著性(P <0.05)。【结论】参芎葡萄糖注射液联合胰激肽原酶肠溶片可减少糖尿病肾脏疾病患者的尿白蛋白排出,减轻肾损害,保护肾功能,延缓病变进展。
【목적】탐토삼궁포도당주사액연합이격태원매장용편치료조기당뇨병신병적림상료효。【방법】장2013년1월지2014년12월우중국의과대학부속제사의원신내과주원치료적72례당뇨병신장병환자수궤분위대조조화치료조,매조36례,기중대조조채용상규치료방법화삼궁포도당주사액,치료조재대조조기출상가용이격태원매장용편치료,3개월후,평개량조적혈청기항(SCr)、뇨소담(BUN)、뇨백단백배설솔(UAER)등개변정황급진행량조림상료효적비교。【결과】량조치료후 UAER 교치료전명현하강,차차이성유현저성(P <0.05)；치료조여대조조상비개선경위명현,차량조상비교차이성유현저성(P <0.05)。량조SCr,BUN 치료전후상비교차이균무현저성(P >0.05)。치료조총유효솔위94.4%,명현고우대조조(83.3%),차량조비교차이유현저성(P <0.05)。【결론】삼궁포도당주사액연합이격태원매장용편가감소당뇨병신장질병환자적뇨백단백배출,감경신손해,보호신공능,연완병변진전。
[Objective]To explore the clinical efficacies of Shen-xiong injection plus kallidinogenase on proteinu-ria in patients with early diabetic nephropathy.[Methods]An exploratory study was performed for 72 diabetic ne-phropathy (DN)patients at our hospital between January 2013 and December 2014.They were randomly divided into two groups.Two groups received conventional therapy.The control group had Shen-xiong injection while the treat-ment group received both kallidinogenase and Shen-xiong injection.And the serum levels werecreatinine,blood urea nitrogen and urinary protein excretion were compared after treatment.[Results]After treatment,urinary protein ex-cretion was significantly lower than that pre-treatment and the difference was statistically significant (P <0.05).U-rinary protein excretion in treatment group was significantly lower than that in control group (P <0.05).[Conclu-sion]The combined use of Shen-xiong injection plus kallidinogenase can reduce urinary protein and protect renal func-tion during early diabetic nephropathy.