广州医药 ›› 2022, Vol. 53 ›› Issue (2): 68-71.DOI: 10.3969/j.issn.1000-8535.2022.02.014

• 论著 • 上一篇    下一篇

百令胶囊联合前列地尔对早期糖尿病肾病患者血液流变学及肾功能的影响

仲小莉, 郭雨淋   

  1. 濮阳市第三人民医院内分泌科(濮阳 457000)
  • 收稿日期:2021-04-22 发布日期:2022-04-12

Effect of Bailing capsule combined with alprostadil on hemorheology and renal function in patients with early diabetic nephropathy

ZHONG Xiaoli, GUO Yulin   

  1. The Third People's Hospital of Puyang,Puyang 457000,China
  • Received:2021-04-22 Published:2022-04-12

摘要: 目的 探究百令胶囊联合前列地尔对早期糖尿病肾病患者血液流变学及肾功能影响。方法 选我院2020年1月—2021年1月期间100例糖尿病肾病患者为研究对象,将其以随机数字表法分为对照组、观察组,各50例,分别应用前列地尔治疗、前列地尔+百令胶囊治疗,比较2组治疗前后血液流变学指标、肾功能指标。结果 治疗前2组血浆粘度、全血粘度、红细胞聚集指数水平相近,差异无统计学意义(P>0.05);治疗后观察组血浆粘度、全血粘度、红细胞聚集指数水平较对照组低,差异有统计学意义(P<0.05);治疗前2组微量蛋白排泄率(UAER)、血尿素氮(BUN)、血肌酐(Scr)水平相近,差异无统计学意义(P>0.05);治疗后观察组UAER、BUN、Scr水平较对照组低,差异有统计学意义(P<0.05);2组治疗期间均未见严重不良反应。结论 对早期糖尿病肾病患者应用百令胶囊+前列地尔治疗,可改善其血液流变学指标及肾功能指标,降低炎症反应程度,治疗安全且疗效理想。

关键词: 早期糖尿病肾病, 百令胶囊, 前列地尔

Abstract: Objective To explore the effect of Bailing capsule combined with alprostadil on hemorheology and renal function in patients with early diabetic nephropathy. Methods A total of 100 patients with diabetic nephropathy in our hospital from January 2020 to January 2021 were randomly divided into control group and observation group, 50 cases in each group.They were treated with alprostadil and alprostadil with Bailing capsule respectively.The indexes of hemorheology and renal function before and after treatment were compared between the two groups. Results Before treatment, the levels of plasma viscosity, whole blood viscosity and erythrocyte aggregation index of the two groups were similar, and the differences were not statistically significant (P > 0.05). After treatment, the levels of plasma viscosity, whole blood viscosity and erythrocyte aggregation index of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). Before treatment, the levels of urine albumin excretion ratio, blood urea nitrogen and serum creatinine in the two groups were similar, and the differences were not statistically significant (P > 0.05). After treatment, the levels of urine albumin excretion ratio, blood urea nitrogen and serum creatinine in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). There was no serious adverse reaction in the two groups during the treatment. Conclusion Bailing capsule combined with alprostadil in the treatment of early diabetic nephropathy can improve the indexes of hemorheology and renal function, lower the inflammatory reaction, and the treatment is safe and effective.

Key words: early diabetic nephropathy, Bailing capsule, alprostadil