期刊文献+

舒洛地特联合厄贝沙坦治疗老年糖尿病肾病疗效观察 被引量:12

Therapeutic effects of sulodexide combined with irbesartan on elderly patients with diabetic nephropathy
暂未订购
导出
摘要 目的观察舒洛地特联合厄贝沙坦治疗老年糖尿病肾病的临床疗效。方法选择糖尿病肾病患者65例,随机分为对照组和治疗组。对照组在常规治疗的基础上加用厄贝沙坦,治疗组在对照组的基础上加用舒洛地特,8周后测定2组病人空腹血糖(FBG)、24 h尿蛋白定量、血清光抑素C、三酰甘油(TG)、纤维蛋白原(FIB)的变化。结果治疗组与对照组光抑素C、24 h尿蛋白定量都有所下降,治疗组比对照组下降更为明显(P<0.05);而TG、FIB只有在治疗组有所下降,明显低于对照组(P<0.01)。结论舒洛地特联合厄贝沙坦可以更有效地改善老年糖尿病肾病患者的肾功能。 Objective To observe the effects of the combination therapy of sulodexide and irbesartan in elderly patients with diabetic nephropathy (DN). Methods Sixty-five patients with DN were randomly divided into treatment group and control group. Two groups were routinely treated with general treatment for DN. The control group were treated with irbesartan, and the treatment group received the combination therapy of irbesartan and sulodexide, additionally. After 8 weeks, 24 h urin protein, cystatin C, triglyeeride (TG) and fibrinogen(FIB) were measured in two groups. Results Compared with the control group, the levels of 24 b urin protein, cystatin C ,TG and FIB were decreased (P 〈 0.05 or P 〈 0. 01 ). Conclusions Sulodexide combined with irbesartan can improve renal function in elderly patients with DN.
出处 《实用老年医学》 CAS 2009年第4期276-278,共3页 Practical Geriatrics
关键词 舒洛地特 厄贝沙坦 24H尿蛋白定量 血清光抑素C 三酰甘油 纤维蛋白原 糖尿病肾病 sulodexide irbesartan 24 h urin protein cystatin C triglyceride fibrinogen diabetic nephropathy
  • 相关文献

参考文献14

二级参考文献63

  • 1杨柳 潘家绮 等.-[J].中华医学杂志,2000,80(5):336-336.
  • 2罗邦尧 王笑微 郁忠勤 见:王鸿利 王学锋主编.糖尿病与血栓[A].见:王鸿利,王学锋主编.血栓病临床新技术[C].北京:人民军医出版社,2003..
  • 3Viberti G, Wheeldon NM. Microalbuminuria reduction with valsartan in patients with type 2 diabetes mellitus: a blood pressure-independent effect [ J ]. Circulation, 2002, 106(6) :672.
  • 4Jerums G, Allen TJ, Gampbell DJ. Long-term comparison between perindopril and nifedipine in normotensive patients with type 1 diabetes and microalbuminuria [ J ]. Am J Kidney Dis, 2001,37(5) :890.
  • 5Morgensen CE, Neldama S, Tikkanen I, et al. Randomised controlled trial of dual blockade of renin-angiotension system in patients with hypertension microalbuminuria and non-insulin dependent diabetes. The Candesartan and lisinopril microalbuminuria ( CLAM ) study [ J ]. BMJ, 2000, 321(7274) : 1440.
  • 6Russo D, Pisani A, Balleta MM, et al. Addictive antiproteinuric effect of converting enzyme inhibitor and losartan in normotensive patients with IgA nephropathy [ J ]. Am J kidney Dis, 1999,33(4) :851.
  • 7[2]Dubois D,Chanson P,Timsit J, et al.Remission of proteinuriafollowing corection of yperlipidemia in NIDDM patients with nondiabetic glomerulopathy.DIabetes Care 1994;17:906.
  • 8Robins SJ. Fibrates and conmnaryheart disease reduction in diabetes[ J]. Curt Opin Endocrinol Diabetes,2002,9:312 - 322.
  • 9Cusi K. Cardiovascular risk management in type 2 diabetes:from clinical trials toclinical practice [ J ]. Endocrinologist,2001,11:474 -490.
  • 10UK Prospective Diabetes Study (UKP-DS) Group. Intensive blood - glucosecontrol with sulphonylureas or insulin compared with conventional treatmentand risk complications in patients with type 2 diabetes( UKPDS 33 ) [ J]. Lancet, 1998, 352:837 - 853.

共引文献149

同被引文献77

引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部