糖肾1号方治疗早期糖尿病肾病44例

郭存霞; 陈小永; 解红霞; 陈辉; 张建伟

doi:10.13422/j.cnki.syfjx.2014140211

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糖肾1号方治疗早期糖尿病肾病44例

临床 | 更新时间：2024-01-04

- 糖肾1号方治疗早期糖尿病肾病44例
- Tangshen 1 Number Decoction in Treating Early Diabetic Nephropathy with 44 Cases
- 中国实验方剂学杂志 2014年20卷第14期页码：211-214
- 作者机构：
- 作者简介：
- 基金信息：
  
  河南省教育厅科学技术研究重点项目（13A360591）
- DOI：10.13422/j.cnki.syfjx.2014140211
  中图分类号： R259;R277.5
- 纸质出版日期：2014
- 稿件说明：
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郭存霞, 陈小永, 解红霞, 等. 糖肾1号方治疗早期糖尿病肾病44例[J]. 中国实验方剂学杂志, 2014,20(14):211-214.

GUO Cun-xia, CHEN Xiao-yong, XIE Hong-xia, et al. Tangshen 1 Number Decoction in Treating Early Diabetic Nephropathy with 44 Cases[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(14): 211-214.
郭存霞, 陈小永, 解红霞, 等. 糖肾1号方治疗早期糖尿病肾病44例[J]. 中国实验方剂学杂志, 2014,20(14):211-214. DOI： 10.13422/j.cnki.syfjx.2014140211.

GUO Cun-xia, CHEN Xiao-yong, XIE Hong-xia, et al. Tangshen 1 Number Decoction in Treating Early Diabetic Nephropathy with 44 Cases[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(14): 211-214. DOI： 10.13422/j.cnki.syfjx.2014140211.

摘要

目的：观察糖肾1号方治疗早期糖尿病肾病的临床疗效及对人组织型纤溶酶原激活剂（t-PA）和纤溶酶原激活剂抑制因子（PAI-1）的影响。方法： 88例患者采用随机按数字法分为观察组和对照组各44例。在控制血压和血糖的基础上，对照组服用卡托普利片，12.5 mg/次，3次/d；观察组在对照组治疗的基础上加用糖肾1号方，1剂/d。两组疗程均为12周。检测治疗前后24 h尿蛋白（UAER），尿微量白蛋白与肌酐的比值（ACR）、空腹血糖（FPG）、和糖化血红蛋白（HbAlc）；检测治疗前后胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）和低密度脂蛋白胆固醇（LDL-C）水平；检测治疗前后血清t-PA和PAI-1水平，检测治疗前后血浆D-二聚体（D-D）、血小板聚集率和血浆纤维蛋白原（FIB）。结果：观察组总有效率90.91%，对照组为68.18%，观察组优于对照组（P<0.05）；治疗后观察组UAER和ACR水平低于对照组（P<0.01）；治疗后观察组TC，TG，LDL-C水平低于对照组（P<0.01），HDL-C水平高于对照组（P<0.01）；观察组t-PA升高，并高于对照组（P<0.01），观察组PAI-1水平下降，并低于对照组（P<0.01）；治疗后观察组FIB，D-D和血小板聚集率均比治疗前下降，并低于对照组（P<0.01）。结论：糖肾1号方能调节t-PA/PAI-1活性，降低D-D，FIB和血小板聚集率，改善脂代谢，降低血液黏度，减少UAER，对早期DN肾功能有一定保护作用。

Abstract

Objective: Observe clinical effect of Tangshen 1 number decoction and influence to People tissue type plasminogen activat(t-PA) and plasminogen activator inhibitor(PAI-1) in treating early diabetic nephropathy. Method: Eighty-eight patients were randomly divided into control group (44 cases) and observation group (44 cases)by random number table.On the basis treatment of controlling blood pressure and blood glucose

patients in control group received captopril

12.5 mg/time

3 times/day.Based on the treatment of control group

patients in observation group received Tangshen 1 number decoction

1 dose/day.Course of treatment in two groups were both 12 weeks.Before and after treatment

24 hours urinary albumin excretion rate(UAER)

the ratio of microalbuminuria and creatinine

fasting plasma glucose(FPG) and hemoglobin Alc were detected.Levels of total cholesterol(TC)

triglyceride(TG)

high-density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) were detected.Levels of serous t-PA and PAI-1 were also detected.And D-dimer(D-D) in plasma

platelet aggregation and plasma fibrinogen(FIB) were detected. Result: The total effective rate of curative effect in observation group was 90.91% superior to 68.18% in control group(P<0.05).After treatment

levels of UAER and ACR in observation group were lower than those in control group(P<0.01).And levels of TC

TG and LDL-C in observation group were lower than those in control group(P<0.01)

but level of HDL-C in observation group was higher than in control group(P<0.01).Ievel of t-PA in observation group increased

and which was higher than in control group(P<0.01).Ievel of PAI-1 in observation group decreased

and which was lower than in control group(P<0.01).Ievel of FIB

D-D and platelet aggregation in observation group decreased

and which were lower than those in control group(P<0.01). Conclusion: Tangshen 1 number decoction can regulate the activity of t-PA or PAI-1 and reduce levels of D-D

FIB and platelet aggregation

it can also ameliorate lipid metabolism

reduce blood viscosity and UAER

there was a protection for renal function of early diabetic nephropathy.

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