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罗格列酮对早期糖尿病肾病脂联素的影响

舒毅 陈幼萍 曾春平 潘苗 罗少(荘)

实用医学杂志2011,Vol.27Issue(11):2024-2026,3.
实用医学杂志2011,Vol.27Issue(11):2024-2026,3.DOI:10.3969/j.issn.1006-5725.2011.11.051

罗格列酮对早期糖尿病肾病脂联素的影响

Effects of rosiglitazone on the expression of adiponectin in early diabetic nephropathy

舒毅 1陈幼萍 1曾春平 1潘苗 1罗少(荘)1

作者信息

  • 1. 528200,南方医科大学附属广东省佛山市南海区人民医院内分泌科
  • 折叠

摘要

Abstract

Objective To investigate the effects of rosiglitazone on the expression of adiponectin in early diabetic nephropathy. Methods Eighty patients with type 2 diabetes and early diabetic nephropathy were randomly divided into two groups: rosiglitazone group (n = 40) and control group (n= 40). Patients in rosiglitazone group received rosiglitazone 4 mg/d and other treatment of lowering blood glucose while those in control group were treated without rosiglitazone. The fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPG), HbAlc, fasting insulin (Fins), high sensitive C-reactive protein (hsCRP), adiponectin (APN), urine microalbumin (MA), and urine creatinine (UCr) were measured before and 12 weeks after treatment. Results The FBG, 2hPG, HbAlc, Fins, HOMA-IR, and urine albumin excretion ratio (UAER)were significantly decreased in the two groups after treatment (P < 0.05). HOMA-IR and UAER were decreased significantly in rosiglitazone group than those in control group (P < 0.05). The level of hsCRP was decrased significantly (P < 0.05), while the concentration of APN was increased significantly (P < 0.05) in rosiglitazone group after treatment, but were not changed in control group. Conclusion Rosiglitazone may play a protective role in diabetic nephropathy by inhibiting inflammatory response.

关键词

糖尿病肾病/罗格列酮/脂联素

Key words

Diabetic nephropathy/ Rosiglitazone/ Adiponectin

引用本文复制引用

舒毅,陈幼萍,曾春平,潘苗,罗少(荘)..罗格列酮对早期糖尿病肾病脂联素的影响[J].实用医学杂志,2011,27(11):2024-2026,3.

基金项目

佛山市卫生局科研立项(编号:2009203) (编号:2009203)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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