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α-硫辛酸对糖尿病周围神经病变氧化应激和内皮功能的影响
引用本文:潘晓燕,郑景晨,龚小花,陈以勒,沈飞霞,汪大望. α-硫辛酸对糖尿病周围神经病变氧化应激和内皮功能的影响[J]. 中华糖尿病杂志, 2009, 17(5): 372-373
作者姓名:潘晓燕  郑景晨  龚小花  陈以勒  沈飞霞  汪大望
作者单位:潘晓燕,郑景晨,龚小花,沈飞霞,汪大望(温州医学院附属第一医院内分泌科,浙江,325000);陈以勒(温州医学院附属第一医院检验科,浙江,325000)  
摘    要:目的观察α-硫辛酸(ALA)对2型糖尿病患者周围神经病变(DPN)氧化应激和内皮功能的影响。方法30例DPN患者予ALA600mg/d静脉滴注14天。检测治疗前后氧化应激功能指标和血管细胞黏附分子(VCAM-1)、细胞间黏附分子(ICAM1)的水平。结果ALA可抑制氧化应激功能,降低ICAM-1的水平升高超氧化物歧化酶(SOD)活力,降低丙二醛含量,差异均有统计学意义,VCAM-1治疗前后差异无统计学意义。结论ALA可抑制DPN患者氧化应激功能及降低ICAM-1水平。

关 键 词:α-硫辛酸  糖尿病神经病变  氧化应激  细胞间黏附分子  血管细胞黏附分子

Effect of alpha-lipoic acid on oxidative stress and endothelial function in patients with diabetic peripheral neuropathies
Affiliation:PAN Xiao-yan, ZHENG Jing-chen, GONG Xiao-hua, et al. (The First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000 ,China)
Abstract:Objective To observe the effects of alpha-lipoic acid on oxidative stress and endothelial function in patients with diabetic peripheral neuropathies. Methods 30 subjects were treated with alpha-lipoic acid 600mg daily intravenously for fourteen days. Oxidative stress indexes and levels of VCAM-1 and ICAM-1 were measured before and after the treatment. Results Alpha-lipoic acid inhibited oxidative stress and decreased ICAM-1 level. There was a significant increase in SOD level(P〈0.01) and a significant decreased level of MDM(P〈0.05)and ICAM-I (P〈0.01). VCAM-1 level was decresed, but there was no significant difference (P〉0.05). Conclusions Alpha-lipoic acid can inhibit the oxidative stress and decrease the level of ICAM-1 in patients with diabetic peripheral neuropathies.
Keywords:Atpha-lipoic acid  Diabetic neuropathy  Oxidative stress  Intercellular adhesion moleeule-1  Vascular cell adhesion molecular-1
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