Influence of Huoba Huagen tablets combined with valsartan on renal function and lipid metabolism in patients with diabetic nephropathy
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摘要: 目的 探讨火把花根片联合缬沙坦对糖尿病肾病患者肾功能和脂代谢指标的影响,为其临床应用提供支持。 方法 收集2015年1—12月间潍坊市第二人民医院收治的184例糖尿病肾病患者资料,采用随机数字法将患者分为对照组和观察组,每组患者92例。对照组患者给予缬沙坦治疗,观察组患者在对照组治疗基础上加用火把花根片治疗。治疗前后,检测患者肾功能指标[24 h尿蛋白定量(QUP)、24 h尿微量白蛋白排泄率(UAER)、血清肌酐(Scr)]和脂代谢指标[胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)]水平,并统计患者治疗效果。采用SPSS 18.0统计软件对收集的数据进行统计学处理,以分析治疗前后患者肾功能和脂代谢指标的变化。 结果 治疗后,2组UAER、QUP、Scr水平均明显降低(P<0.05),且观察组UAER、QUP、Scr水平明显低于对照组(P<0.05);治疗后,2组TC、TG、LDL-C水平均明显降低(P<0.05),且观察组TC、TG、LDL-C水平明显低于对照组(P<0.05)。观察组治疗有效率为87.0%,显著高于对照组的70.7%(P<0.05)。 结论 火把花根片联合缬沙坦可有效改善患者肾功能和脂代谢水平,治疗效果满意。Abstract: Objective To investigate the influence of Huoba Huagen tablets combined with valsartan on renal function and lipid metabolism of patients with diabetic nephropathy(DN),and to provide support for its clinical application. Methods A total number of 184 cases of diabetic nephropathy in our hospital from January,2015 to December,2015 were enrolled and randomly divided into control group and observation group by random number method with 92 cases in each group.The patients in the control group were given valsartan,while the patients in the observation group were administrated with Huoba Huagen tablets and valsartan.Before and after the treatment,the renal function indicators[24 h urinary protein(QUP),24 h urinary albumin excretion rate(UAER),serum creatinine(Scr)]and lipid metabolism[cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL-C),high density lipoprotein(HDL-C)] levels of both groups were tested,and the therapeutic efficacy was documented.SPSS 18.0 was used to compare the difference in renal function indicators and lipid metabolism between the two groups. Results After the treatment,the levels of UAER,QUP and Scr in both groups were significantly reduced(P<0.05),especially in the observation group,the difference was significant as compared with the control group(P<0.05);after the treatment,the levels of TC,TG and LDL-C of both groups were significantly reduced(P<0.05),and more obviously in the observation group as compared with the control group(P<0.05).The total efficacy of the observation group was 87.0%,which was significantly higher than 0.7% of the control group(P<0.05). Conclusion Huoba Huagen tablets combined with valsartan can effectively improve renal function and lipid metabolism of patients with diabetic nephropathy with a satisfactory efficacy.
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Key words:
- Diabetic nephropathy /
- Huoba Huagen tablets /
- Valsartan /
- Kidney function /
- Lipid metabolism
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