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ID:33745783
大小:377.12 KB
页数:47页
时间:2019-02-28
《糖肾康颗粒对糖尿病肾病尿渗透压影响的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、提要目的:本研究通过监测糖尿病肾病(DN)患者治疗前后相关症状及指标的变化,探讨糖肾康颗粒对DN患者肾功能及尿渗透压、血糖、血脂的影响。方法:观察的60例患者来自于山东中医药大学第二附属医院门诊及住院患者,均符合国际公认的丹麦学者Mogensen糖尿病肾病诊断分期标准(Ⅲ、Ⅳ期),按应诊顺序随机分为治疗组和对照组各30例。两组均予以低糖低脂饮食,以精蛋白生物合成人胰岛素注射液(诺和灵30R)每日2次皮下注射控制血糖。治疗组加服糖肾康颗粒,对照组加服银杏叶片,30天为一个疗程,两组均连续治疗2个疗程。观察两组治疗前后临床症状及尿渗透压、血肌酐(Scr)、尿素氮(BUN)、空腹血
2、糖(BS)、甘油三脂(TG)等的变化。结果:治疗组显效率43.3%,总有效率90.0%,两组临床疗效比较,治疗组均明显高于对照组(P<0.05)。治疗组在改善临床症状(口渴喜饮、尿频量多、肢体浮肿、腰膝酸软)方面优于对照组(P<0.05),在降低BS、BUN、TG方面明显优于对照组(P<0.01)。结论:糖肾康颗粒治疗DN临床疗效显著,能明显改善DN患者的主要临床症状,在改善改善尿渗透压、肾功能及调节血糖、血脂方面也有显著疗效。关键词糖肾康颗粒;糖尿病肾病;尿渗透压;临床观察ParticlesTangshenkangclinicalstudyoftheimpactofdiab
3、eticnephropathyurineosmolalitySpeciality:MedicalDepartmentOfTCMAuthor:WuYueTutor:Prof.GaoJiandongAbstractPurpose:ThistopicmonitorsDiabeticnephropathies(DN)patients'changesinrelevantsymptomsandindicatorsbeforeandaftertreatmenttoexploreTangshenkanggranules'advantagesofDNpatients'Urineosmolali
4、tyandbloodsugar,bloodlipid.Methods:Atotalof60patientsobservedarehospitalizedpatientsinmyhospitalinOctober2010~October2011,whomeetintheinternationallyrecognizedscholarofDenmarkMogensenofthescientificdiagnosticcriteriafordiabeticnephropathy(Ⅲ,IV).Theexperimentalgroupwererandomlydividedintoexp
5、erimentalgroupandcontrolgroup.Bothgroupswererequestedtobelow-sugarlow-fatdiet,andsubcutaneousingNovolin30Rtocontrolbloodglucose2timesaday.TheexperimentalgroupweregivenTangshenkanggranuleswhilethecontrolgroupweretreatedwithGinkgobiloba.Courseoftreatmentwere2months.ClinicalsymptomsandUrineosm
6、olality,serumcreatinine(Scr),bloodureanitrogen(BUN),bloodsugar(BS),TriglyceridesResults:Theexperimentalgrouparesignificantlybetterthanthecontrolgroupinimprovingtheclinicalsymptomsofdrinkingmorethanthirst,frequentingurinationquantity,limbingedemaandlimpingwaistandknees,reducingurinaryalbumin
7、andtheBS,BUN,TG(P<0.01).Conclusion:TangshenkanggranuleshasasignificanteffectinimprovingthemainclinicalsymptomsandithasasignificanteffectinreducingUrineosmolality.improvingtherenalfunctionandregulatingbloodsugarandbloodlipid.KeywordsTangshenkanggranules;D
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