文章摘要
康慧霞,邢建月,郭二华,邢大庆,郭晓霏.芪术胶囊联合穴位贴敷对糖尿病肾病Ⅲ-Ⅳ期患者血脂、肾功能和血清TGF-β1、CTGF水平的影响[J].,2021,(15):2939-2942
芪术胶囊联合穴位贴敷对糖尿病肾病Ⅲ-Ⅳ期患者血脂、肾功能和血清TGF-β1、CTGF水平的影响
Effect of Qizhu Capsule Combined with Acupoint Application on Blood Lipid, Renal Function and Serum TGF-β1, CTGF Levels in Patients with Diabetic Nephropathy Stage Ⅲ-Ⅳ
投稿时间:2021-02-03  修订日期:2021-02-28
DOI:10.13241/j.cnki.pmb.2021.15.029
中文关键词: 芪术胶囊  穴位贴敷  糖尿病肾病  Ⅲ-Ⅳ期  血脂  肾功能  TGF-β1  CTGF
英文关键词: Qizhu capsule  Acupoint application  Diabetic nephropathy  Stage Ⅲ-Ⅳ  Blood lipid  Renal function  TGF-β1  CTGF
基金项目:山西省科技厅科技攻关计划(141078)
作者单位E-mail
康慧霞 山西省中医院肾病二科 山西 太原 030012 k13546382623@126.com 
邢建月 山西省中医院肾病二科 山西 太原 030012  
郭二华 山西省中医院肾病二科 山西 太原 030012  
邢大庆 山西省中医院肾病二科 山西 太原 030012  
郭晓霏 山西省中医院内分泌科 山西 太原 030012  
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中文摘要:
      摘要 目的:观察芪术胶囊联合穴位贴敷对糖尿病肾病(DN)Ⅲ-Ⅳ期患者血脂、肾功能和血清转化生长因子-β1(TGF-β1)、结缔组织生长因子(CTGF)水平的影响。方法:选择2018年3月~2020年8月期间我院收治的DN患者90例,将患者按随机数字表法分为对照组(n=45)和研究组(n=45),对照组予以常规西医治疗,研究组在对照组的基础上给予芪术胶囊联合穴位贴敷治疗,均治疗4周。比较两组患者的疗效、中医证候积分、血脂、肾功能和血清TGF-β1、CTGF水平。结果:治疗4周后,研究组的临床总有效率88.89%(40/45)高于对照组68.89%(31/45)(P<0.05)。治疗4周后,研究组中医证候积分、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、血肌酐(Scr)、血尿素氮(BUN)、TGF-β1、CTGF、尿白蛋白排泄率(UAER)低于对照组(P<0.05),高密度脂蛋白(HDL)高于对照组(P<0.05)。结论:芪术胶囊联合穴位贴敷治疗DN Ⅲ-Ⅳ期患者,可有效改善患者血脂及肾功能,促进症状缓解,降低血清TGF-β1、CTGF水平。
英文摘要:
      ABSTRACT Objective: To observe the effect of Qizhu capsule combined with Acupoint Application on blood lipid, renal function and serum levels of transforming growth factor-β1(TGF-β1) and connective tissue growth factor(CTGF) in patients with diabetic nephropathy (DN) at stage Ⅲ-Ⅳ. Methods: 90 patients with DN in our hospital from March 2018 to August 2020 were selected, and they were randomly divided into control group(n=45) and study group(n=45). The control group was treated with conventional western medicine, and the study group was treated with Qishu capsule combined with Acupoint Application on the basis of the control group, with 4 weeks of treatment. The curative effect, TCM syndrome score, blood lipid, renal function, serum TGF-β1 and CTGF levels were compared between the two groups. Results: After 4 weeks of treatment, the total effective rate of the study group was 88.89% (40/45), which was higher than 68.89% (31/45) of the control group (P<0.05). After 4 weeks of treatment, the TCM syndrome score, total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), serum creatinine (SCR), blood urea nitrogen (BUN), TGF-β1, CTGF and urinary albumin excretion rate (UAER) of the study group were lower than those of the control group(P<0.05), and the high density lipoprotein (HDL) of the study group was higher than that of the control group (P<0.05). Conclusion: Qizhu capsule combined with acupoint application can effectively improve the blood lipid and renal function of patients with DN stage Ⅲ-Ⅳ, promote the remission of symptoms, and reduce the levels of serum TGF-β1 and CTGF.
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