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曹卫华,黄丽红,郭民,刘晓红,惠宗光.蜂贝化瘀方治疗糖尿病肾病的临床观察[J].中国中西医结合杂志,2005,(11):1022-1024
蜂贝化瘀方治疗糖尿病肾病的临床观察
Clinical Observation of Fengbei Huayu Recipe in Treating Diabetic Nephropathy
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DOI:
中文关键词:  蜂贝化瘀方  糖尿病肾病  尿白蛋白排泄率
英文关键词:Fengbei Huayu recipe  diabetic nephropathy  urinary albumin excretion rate
基金项目:
作者单位
曹卫华 潍坊医学院附属医院内分泌科 山东261031 
黄丽红 潍坊医学院附属医院内分泌科 山东261031 
郭民 潍坊医学院附属医院内分泌科 山东261031 
刘晓红 潍坊医学院附属医院内分泌科 山东261031 
惠宗光 潍坊医学院附属医院内分泌科 山东261031 
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中文摘要:
      目的观察蜂贝化瘀方对糖尿病肾病(DN)患者尿白蛋白排泄率(UAER)的影响。方法选择72例Ⅲ~Ⅳ期DN患者,随机分为两组(每组各36例),在常规降糖、降压药治疗的基础上,治疗组加用蜂贝化瘀方,每日1剂,连用8周。观察治疗前后D-D聚体、糖化血红蛋白(HbA1c)、肾功能〔包括血尿素氮(BUN)、血肌酐(SCr)〕、血脂〔包括总胆固醇(TC)、甘油三酯(TG)〕水平的变化。结果治疗组治疗后UAER、D-D聚体、HbA1c、血脂比治疗前均明显下降(P<0.05),且优于对照组(P<0.05);两组治疗前后肾功能比较差异无显著性。结论蜂贝化瘀方可明显减少DN患者的UAER,并有降低血糖、血脂的作用。
英文摘要:
      ObjectiveTo study the effects of Fengbei Huayu recipe (FHR) on urinary albumin excretion rate (UAER) in patients with diabetic nephropathy (DN). MethodsSeventy-two type 2 DN patients in Ⅲ or Ⅳ stage were randomly divided into two groups, 36 in each group. All patients were treated with conventional hypoglycemic agents and hypotensor, but those in the treated group were given additionally with FHR twice a day for 8 successive weeks. The changes of UAER, D-polymer, glycosylate hemoglobin (HbA1c), renal function indexes, including blood urea nitrogen (BUN) and serum creatinine (SCr), and blood lipids, including total cholesterol (TC) and triglyceride (TG) in the two groups before and after treatment were compared. Results The levels of UAER , D-polymer, HbA1c, TC and TG were significantly decreased after treatment in the treated group (P<0.05), and the improvement were superior to those in the control group (P<0.05) respectively. But the difference of renal function before and after treatment showed no significance in both groups. Conclusion FHR could not only obviously decrease the level of UAER, but also decrease the levels of blood glucose and blood-lipids in patients with DN.
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