[1]朱祎,李晓华.叶氏益肾降糖方治疗早期糖尿病肾病疗效观察[J].西部中医药,2020,33(07):118-121.[doi:10.12174/j.issn.1004-6852.2020.07.31]
 ZHU Yi,LI Xiaohua.Clinical Effects of Ye′s Yishen Jiangtang Prescription in Treating Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2020,33(07):118-121.[doi:10.12174/j.issn.1004-6852.2020.07.31]
点击复制

叶氏益肾降糖方治疗早期糖尿病肾病疗效观察
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年07期
页码:
118-121
栏目:
出版日期:
2020-07-15

文章信息/Info

Title:
Clinical Effects of Ye′s Yishen Jiangtang Prescription in Treating Early Diabetic Nephropathy
文章编号:
1004-6852(2020)07-0118-04
作者:
朱祎李晓华
上海第七人民医院内分泌科,上海 200137
Author(s):
ZHU Yi, LI Xiaohua△
Endocrinology Department, Shanghai City the Seventh People′s Hospital, Shanghai 200137, China
关键词:
糖尿病肾病早期叶氏益肾降糖方炎症因子临床疗效
Keywords:
diabetic nephropathy early Ye′s Yishen Jiangtang prescription inflammatory factors clincial effects
分类号:
R
DOI:
10.12174/j.issn.1004-6852.2020.07.31
文献标志码:
B
摘要:
目的:观察叶氏益肾降糖方治疗早期糖尿病肾病的临床疗效。方法:将早期糖尿病肾病患者74例随机分两组各37例,对照组采用保肾、降糖、降压、改善微循环治疗;观察组在对照组基础上采用叶氏益肾降糖方治疗,持续8周。比较两组患者临床疗效、尿微量白蛋白(microalbuminuria,mAlb)、尿中白蛋白/肌酐(urinary albumin-to-creatinine ratio,UACR)、肾小球滤过率(estimated glomerular filtration rate,eGFR)及血清白细胞介素6(interleukin-6,IL-6)水平,并记录不良反应。结果:有效率对照组为78.4%(29/37),低于观察组的94.6%(35/37),差异具有统计学意义(P<0.05)。治疗后对照组和观察组UACR分别为(16.25±4.56)mg/mmol、(10.57±4.21)mg/mmol,mAlb分别为(75.20±13.36)mg/L、(53.31±12.20)mg/L,eGFR分别为(48.02±4.65)mL/min、(52.29±4.72)mL/min,血清IL-6分别为(17.49±4.91)ng/L、(12.68±4.56)ng/L,两组各指标比较差异具有统计学意义(P<0.05)。两组患者治疗过程中均未见不良反应。结论:在西医常规治疗的基础上应用叶氏益肾降糖方有利于降低早期糖尿病肾病患者炎症因子,避免肾损伤,临床疗效优于单用西医常规治疗。
Abstract:
Objective: To observe clinical effects of Ye′s Yishen Jiangtang prescription in the treatment of early diabetic nephropathy (DN). Methods: All 74 patients were randomized into two groups, 37 cases each group, the control group adopted the therapy of protecting kidney, lowering glucose, lowering pressure and improving microcirculation; and the observation group took Ye′s Yishen Jiangtang prescription orally on the foundation of Western medicine, for eight consecutive weeks. To compare clinical effects, mAlb, UACR, eGFR and IL-6 between both groups, to record adverse reaction. Results: The effective rate of the control group was 78.4%(29/37), lower than 94.6%(35/37) of the observation group, and the difference had statistical meaning(P<0.05). After treating, UACR of the control group and the observation group were(16.25±4.56)mg/mmoland(10.57±4.21)mg/mmol respectively, mAlb(75.20±13.36)mg/L and (53.31±12.20)mg/L, eGFR(48.02±4.65)mL/min and (52.29±4.72)mL/min, IL-6(17.49±4.91)ng/L and (12.68±4.56)ng/L, the difference had statistical meaning between both groups in these indexes (P<0.05). No adverse reaction happened in both groups. Conclusion: Ye′s Yishen Jiangtang prescription could reduce inflammatory factors, avoid renal damage with definited clinical effects in the treatment of DN.

相似文献/References:

[1]徐宏.益水生新饮对高血压早期肾损害患者血液流变学及ALB和α1-MG的影响*[J].西部中医药,2013,26(06):4.
 XU Hong.Effects of Y iShui ShengXinY in on Hemorheology, ALB and α1-MG of Hypertensive Patients with Early Renal Damage[J].Western Journal of Traditional Chinese Medicine,2013,26(07):4.
[2]王学琦,李丰华,张荣华,等.温肾汤治疗早期糖尿病肾病80例[J].西部中医药,2013,26(09):62.
 WANG Xueqi,LI Fenghua,ZHANG Ronghua,et al.WenShenTang for 80 Cases of Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):62.
[3]任芳,徐厚谦△.黄芪注射液治疗糖尿病肾病有效性及安全性的系统评价[J].西部中医药,2014,27(01):77.
 REN Fang,XU Houqian.Systematic Review of the Effectiveness and Safety of HuangQi Injection in Treating Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2014,27(07):77.
[4]丁夏楠,许筠△,苏建平,等.益肾逐瘀方治疗糖尿病肾病蛋白尿37例[J].西部中医药,2014,27(04):96.
 DING Xianan,XU Jun,SU Jianping,et al.Treatment for Proteinuria of 37 Patients with Diabetic Nephropathy by Kidney-invigorating Stagnation-dispelling Prescription[J].Western Journal of Traditional Chinese Medicine,2014,27(07):96.
[5]肖远莉.循证护理的优效性及影响因素分析———来自终末期糖尿病肾病患者血液透析的证据[J].西部中医药,2014,27(08):127.
[6]柳青梅.舒适护理在剖宫产产妇术后护理中的应用[J].西部中医药,2014,27(08):140.
[7]刘涛.缬沙坦联合复方丹参滴丸对早期2型糖尿病肾病患者尿微量白蛋白的影响[J].西部中医药,2015,28(05):106.
[8]张鉴明.加味生化汤联合米非司酮、米索前列醇治疗早期妊娠药物流产200例[J].西部中医药,2013,26(04):77.
 ZHANG Jianming.Modified ShengHuaTang Combined with Mifepristone and Misoprostol in Treating 200 Cases of Drug Abortion for Patients in Early Pregnancy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):77.
[9]连琯,史晓伟.当归补血汤合金水宝治疗早期糖尿病肾病16例临床观察[J].西部中医药,2013,26(06):68.
 LIAN Guan,SHI Xiaowei.Clinical Observation on DangGui BuXueTang and JinShuiBao in Treating 16 Cases of Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):68.
[10]任芳,徐厚谦△.黄芪注射液治疗糖尿病肾病随机对照试验报告质量评价[J].西部中医药,2013,26(12):1.
 REN Fang,XU Houqian.Quality Evaluation of the Report for Randomized Controlled Trials of HuangQi Injection in Treating Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):1.
[11]林晓芬,黄燕璇.益肾汤联合厄贝沙坦及胰激肽原酶治疗早期糖尿病肾病的疗效观察[J].西部中医药,2013,26(07):68.
 LIN Xiaofen,HUANG Yanxuan.Clinical Observation on YiShenTang Combined with Irbesartan and Pancreatic Kininogenase in the Treatment for Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):68.
[12]王永军,石良静,等.益气养阴通络方对早期糖尿病肾病患者炎症因子及肾功能的影响[J].西部中医药,2020,33(05):82.[doi:10.12174/j.issn.1004-6852.2020.05.23]
 WANG Yongjun,SHI Liangjing,FAN Zhengchao,et al.Influence of Qi-invigorating Yin-nourishing Collateral-dredging Prescription on Inflammatory Factors and Renal Function of the Patients with Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2020,33(07):82.[doi:10.12174/j.issn.1004-6852.2020.05.23]
[13]吕翠岩,郑爽,贾晓蕾,等.参芪地黄汤化裁方对早期糖尿病肾病患者血糖及尿蛋白的影响[J].西部中医药,2021,34(09):51.[doi:10.12174/j.issn.2096-9600.2021.09.14]
 LYU Cuiyan,ZHENG Shuang,JIA Xiaolei,et al.Effects of Modified Prescription of Shenqi Dihuang Decoction on Blood Glucose and Urinary Protein in Early Diabetic Kidney Disease[J].Western Journal of Traditional Chinese Medicine,2021,34(07):51.[doi:10.12174/j.issn.2096-9600.2021.09.14]
[14]任秋月,常柏.水陆二仙丹合抵挡汤加减治疗早期糖尿病肾病的前瞻性研究[J].西部中医药,2021,34(07):9.[doi:10.12174/j.issn.2096-9600.2021.07.03]
 REN Qiuyue,CHANG Bai.Prospective Study on Modified Shuilu Erxian Pills and Didang Decoction in the Treatment of Early Diabetic Nephropathy[J].Western Journal of Traditional Chinese Medicine,2021,34(07):9.[doi:10.12174/j.issn.2096-9600.2021.07.03]

备注/Memo

备注/Memo:
收稿日期:2019-02-15*基金项目:上海市科研计划项目(19401934200);上海市中医重点专科培育项目。作者简介:朱祎(1987—),女,硕士学位,主治医师。研究方向:糖尿病肾病的诊治。△通讯作者:李晓华(1973—),女,博士学位,主任医师。研究方向:糖尿病、肥胖、代谢综合征的基础及临床研究。
更新日期/Last Update: 2020-07-15