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贝那普利联合前列腺素E1治疗糖尿病肾病的临床疗效观察
引用本文:朱涛.贝那普利联合前列腺素E1治疗糖尿病肾病的临床疗效观察[J].中国现代医生,2013(9):50-51.
作者姓名:朱涛
作者单位:湖南省双峰县中医医院内科,湖南双峰417700
摘    要:目的观察贝那普利联合前列腺素E1治疗糖尿病肾病的临床疗效。方法收集临床确诊的50例糖尿病肾病患者随机分为联合用药组(n=25)和贝那普利组(n=25),观察两组治疗前后尿蛋白及肾功能的变化。结果联合用药组在治疗4周后,24h尿蛋白定量及尿微自蛋白排泄率即出现明显下降(P〈0.05)。两组患者在治疗8周后24h尿蛋白定量及尿微白蛋白排泄率均较治疗前明显下降(P〈0.05),但联合用药组较贝那普利组下降更为明显(P〈0.05)。结论贝那普利联合前列腺素E1治疗糖尿病肾病效果明显,值得临床进一步推广使用。

关 键 词:糖尿病肾病  贝那普利  前列腺素E1  蛋白尿

Clinical efficacy of benazepril combined with prostaglandin El for the treatment of diabetic nephropathy
Authors:ZHU Tao
Institution:ZHU Tao (Medical Department, the Chinese Medicine Hosptial of Shuangfeng, Shuangfeng 417700, China)
Abstract:Objective To observe clinical efficacy of benazepril combined with prostagIandin E1 on treating diabetic nephropathy (DN). Methods A total of 50 patients with DN were enrolled and randomLy divided into combination treatment group(n = 25) and benazepril treatment group (n = 25), and the changes of urine protein and renal function were observed. Results After 4 weeks treatment, 24 h urine protein level and 24 h urinary microalbumin excretive rate of combination treatment group were significantly decreased than that before treatment(P 〈 0.05). After 8 weeks treatment,24 h urine protein level and 24 h urinary microalbumin excretive rate of two groups were significantly decreased than that before treatment(P 〈 0.05),and the combination treatment group were decreased more significantly than benazepril treatment group(P 〈 0.05). Conclusion Benazepril combined with prostaglandin E1 treatment is an ideal treatment for DN and worthy of clinical use.
Keywords:Diabetic nephropathy  Benazepril  Prostaglandin E 1  Proteinnria
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