黄芪注射液联合川芎嗪粉针治疗糖尿病肾病临床观察
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Clinical Observation on Treatment of Diabetic Nephropathy by Astragalus Injection Combined with Ligustrazine
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    摘要:

    目的:观察黄芪注射液联合川芎嗪粉针治疗2型糖尿病肾病的疗效。方法:采用随机、对照的方法,选择糖尿病肾病患者64例,随机分为2组,对照组32例,仅给予常规降血糖、降血压治疗。治疗组32例,在对照组基础上加用黄芪注射液联合川芎嗪粉针静滴。观察24 h尿白蛋白、血肌酐、尿素氮、纤维蛋白原变化情况。结果:对照组治疗前后部分指标如血肌酐、尿素氮、24 h尿蛋自定量可得到改善;治疗组治疗后血肌酐、尿素氮、24 h尿蛋自定量、纤维蛋白原、胆固醇、三酰甘油等各项指标均较治疗前及对照组治疗后明显改善。结论:在控制好血糖及血压的基础上,使用黄芪注射液联合川芎嗪粉针治疗可降低血脂、血纤维蛋白原水平,降低血黏度,减轻肾内高灌注,改善肾内血流动力学,保护肾功能,对2型糖尿病肾病具有治疗作用。

    Abstract:

    To observe the curative effect of Astragalus Injection combined with Ligustrazine in treating type 2 diabetic nephropathy. Methods:A randomized, controlled method was adopted. A total of 64 cases of diabetes nephrosis patients were recruited and divided randomly into control group and treatment group. The control group (32 cases) was only given regular treatment to control blood sugar and blood pressure. Based on this, 32 cases in treatment group were treated with Astragalus injection combined with ligustrazine by intravenous drip. 24-hour urine protein, serum creatinine, blood urea nitrogen, and fibrinogen change were observed. Results: After treatment, indicators of control group such as part of the serum creatinine, blood urea nitrogen, 24-hour urine protein improved; while the index of serum creatinine, blood urea nitrogen, 24 h urine eggs, fibrinogen, cholesterol and triglyceride in treatment group improved after treatment; and the treatment group was significantly improved than control group. Conclusion: On the basis of well controled blood sugar and blood pressure, Astragalus injection combined with ligustrazine can decrease blood fat, blood fibrinogen level, and blood viscosity, relieve the statement of renal high infusion, improve the renal hemodynamics, so as to protect the renal function.

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王 权 李 靖.黄芪注射液联合川芎嗪粉针治疗糖尿病肾病临床观察[J].世界中医药,2013,8(2).

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  • 收稿日期:2012-07-23
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  • 在线发布日期: 2013-02-28
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