文章摘要
郭笑丹 杨静 雒否乐 刘江华 梁崇上.胰岛素联合六味地黄丸治疗老年早期糖尿病肾病患者的临床疗效研究[J].,2016,16(27):5364-5366
胰岛素联合六味地黄丸治疗老年早期糖尿病肾病患者的临床疗效研究
Clinical Effect of Insulin Combined with Liuwei Dihuang Wan on ElderlyPatients with Early Diabetic Nephropathy
  
DOI:
中文关键词: 六味地黄丸  糖尿病肾病  同型半胱氨酸  胱抑素C  临床疗效
英文关键词: Liuwei Dihuang Wan  Diabetic nephropathy  HCY  Cystatin C  Clinical curative effect
基金项目:陕西省自然科学基金项目(2010JM8028)
作者单位
郭笑丹 杨静 雒否乐 刘江华 梁崇上 陕西省核工业二一五医院内分泌科西安交通大学第一附属医院内分泌科 
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中文摘要:
      目的:探讨胰岛素联合六味地黄丸治疗老年早期糖尿病肾病患者的临床疗效。方法:收集我院收治的老年早期糖尿病肾病 患者100 例,随机分为对照组和实验组,每组各50 例,对照组患者血糖情况给予胰岛素1 次~2 次/d,实验组患者在此基础上给 予六味地黄丸1 丸/ 次,2 次/d,口服。连续4 周。治疗结束后,对患者血清糖基化血红蛋白(HbA1c)、同型半胱氨酸(HCY)、胱抑素 C(Cys-C)水平的变化及临床疗效进行检测并比较。结果:与治疗前相比,两组患者的HbA1c、HCY、Cys-C 均下降(P<0.05);与对照 组相比,实验组患者HbA1c、HCY、Cys-C 水平较低(P<0.05),实验组患者治疗总有效率较高(P<0.05)。结论:胰岛素联合六味地黄 丸能够有效改善老年早期糖尿病肾病患者的糖稳态及肾功能,临床疗效较好。
英文摘要:
      Objective:To study the effect of insulin combined with Liuwei Dihuang Wan on elderly patients with early diabetic nephropathy.Methods:100 elderly patients with early diabetic nephropathy who admitted in our hospital were collected and randomly assigned to the experimental collected and control group, with 50 cases in each group, the control group was given insulin 1~ 2 times per day, while the experimental group was treated by Liuwei Dihuang Wan 1 pill / time, 2 times / d, port service on the basis of the control group. All the patients were treated for 4 consecutive weeks. At the end of treatment, the changes of serum glucose and glycosylated hemoglobin (HbA1c), homocysteine (Hcy), CystatinC (Cys) levels and clinical efficacy were detected and compared between two groups.Results:Compared with before treatment, the HbA1c, Hcy, Cys levels of both groups were decreased (P 0.05); compared with the control group, the HbA1c, Hcy, Cystatin C levels of patients in the experimental group were significantly lower (P<0.05), the total efficiency of experimental group was higher(P<0.05).Conclusion:Insulin combined with Liuwei Dihuang wan could effectively improve the glucose homeostasis and renal function of elderly patients with early diabetic nephropathy.
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