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α-硫辛酸对 IV 期糖尿病肾病患者的肾脏保护作用

张洁 张晓飞 张趁儒 董闪闪 贾新菊 刘璠

疑难病杂志Issue(3):259-261,264,4.
疑难病杂志Issue(3):259-261,264,4.DOI:10.3969/j.issn.1671-6450.2014.03.014

α-硫辛酸对 IV 期糖尿病肾病患者的肾脏保护作用

Protective effect ofα-lipoic acid on patients with stage IV diabetic nephropathy

张洁 1张晓飞 1张趁儒 1董闪闪 1贾新菊 1刘璠1

作者信息

  • 1. 050031 石家庄,河北医科大学第一医院内分泌科
  • 折叠

摘要

Abstract

Objective To investigate the protective effect of α-lipoic acid on patients with stage IV diabetic nephropathy (DN).Methods 66 patients with stage IV DN were randomly divided into conventional treatment group (conventional group) andα-lipoic acid group (observation group), 2 groups'after treatment blood pressure, blood sugar, blood lipids, serum superoxide dis-mutase (SOD), malondialdehyde (MDA), urinary albumin excretion rate (UAER), urinary β2-microglobulin (β2-MG), creati-nine (SCr), blood urea nitrogen (BUN) changes was observed.Another 20 cases of healthy people selected as healthy control group.Results Conventional group and observation group before and after treatment, differences of blood pressure, blood glucose, blood lipids were not statistically significant ( P >0.05), while the FPG, 2hPG, HbA1c higher than the healthy control group (P <0.05); before treatment, conventional group and the observation group's MDA, UAER, β2-MG were higher than the healthy control group, SOD lower than the control group ( P <0.05).After treatment, the two groups'UAER, β2-MG decreased, observa-tion group decreased more significantly than the conventional group ( P <0.05); after treatment, in the observation group, MDA decreased and SOD increased, and better than the conventional group ( P <0.05).Conclusion α-lipoic acid can effectively con-trol proteinuria of stage IV DN, slow DN progress, play a protective role for the kidneys.

关键词

α-硫辛酸/糖尿病肾病/尿微量白蛋白排泄率/尿β2-微球蛋白/超氧化物歧化酶/丙二醛

Key words

α-lipoic acid/Diabetic nephropathy/Urinary albumin excretion rate/Urinary β2-microglobulin/Super-oxide dismutase/Malondialdehyde

引用本文复制引用

张洁,张晓飞,张趁儒,董闪闪,贾新菊,刘璠..α-硫辛酸对 IV 期糖尿病肾病患者的肾脏保护作用[J].疑难病杂志,2014,(3):259-261,264,4.

基金项目

河北省科学技术研究与发展计划项目 ()

疑难病杂志

OACSTPCD

1671-6450

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