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布美他尼治疗老年2型糖尿病中晚期肾病的临床疗效观察

毛文文 申政磊 李会芳 田伟盟 陈国强

昆明医科大学学报Issue(1):76-79,4.
昆明医科大学学报Issue(1):76-79,4.

布美他尼治疗老年2型糖尿病中晚期肾病的临床疗效观察

Clinical Curative Effect Observation of Bumetanide on Elderly Type 2 Diabetic Patients with Middle and Advanced Stages Nephropathy

毛文文 1申政磊 2李会芳 3田伟盟 1陈国强1

作者信息

  • 1. 昆明市第二人民医院老年科,云南昆明 650204
  • 2. 云南省肿瘤医院血液科,云南昆明650118
  • 3. 昆明医科大学第一附属医院内分泌二科,云南昆明 650032
  • 折叠

摘要

Abstract

Objective The purpose of this study was to observe the effects of bumetanide on elderly type 2 diabetic patients with middle and advanced stages nephropathy. Methods Forty cases with diabetic nephropathy (DN) were divided into two groups:control group (20 cases) and treatment group (20 cases) . The control group accepted furosemide (20 mg, once a day) and the bumetanide was orally administrated at the dose of 1.0 mg, twice a day to the treatment group for 3 months. The assessment of transferrin (TRF) and urine microalbumin (UALB) was performed at the time points at the end of 1, 4, 8, 12 weeks after treatment. Results (1) The levels of BUN, SCr and UA after treatment were lower than before treatment, but there were no significant differences. (2) In the treatment group, the levels of TRF and UALB have decreased after treatment for 1 week, with no statistically significant. But at the end of 4, 8 and 12 weeks,the differences were statistically significant (&nbsp;<0.05) . Especially, during the three months follow-up,the levels of TRF and UALB at 12 weeks have decreased obviously. Conclusion The therapeutic effect of bumetanide on DN might be better than that of furosemide.

关键词

布美他尼/糖尿病肾病/转铁蛋白/尿微量白蛋白浓度

Key words

Bumetanide/Diabetic nephropathy/Transferrin/Urine microalbumin

分类

医药卫生

引用本文复制引用

毛文文,申政磊,李会芳,田伟盟,陈国强..布美他尼治疗老年2型糖尿病中晚期肾病的临床疗效观察[J].昆明医科大学学报,2014,(1):76-79,4.

基金项目

云南省教育厅科学研究基金资助项目 ()

昆明医科大学学报

OACSTPCD

1003-4706

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