恩格列净联合贝那普利对糖尿病肾病患者的治疗效果分析OA
Analysis of the Therapeutic Effect of Empagliflozin Combined with Benazepril on Patients with Diabetic Nephropathy
目的:探讨恩格列净联合贝那普利对糖尿病肾病(DN)患者的治疗效果.方法:选取2021年1月—2024年12月高青县妇幼保健院收治的 200例DN患者为研究对象,采用随机数字表法将其分为对照组与研究组,各 100例.对照组采用贝那普利治疗,研究组在对照组基础上联合恩格列净治疗.两组均连续治疗 2个月.对比两组血糖相关指标、肾功能相关指标、症状积分、并发症发生情况.结果:治疗后,两组空腹血糖、餐后 2 h血糖、糖化血红蛋白均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05).治疗后,两组 24 h尿蛋白定量、血肌酐、血尿素氮均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05).治疗后,两组蛋白尿、水肿、高血压症状积分均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05).研究组并发症发生率为 7.00%,相较于对照组的 2.00%,差异无统计学意义(P>0.05).结论:恩格列净与贝那普利联合应用可有效降低DN患者血糖相关指标,改善肾功能,缓解临床症状,且具有一定的应用安全性.
Objective:To explore the therapeutic effect of Empagliflozin combined with Benazepril on patients with diabetic nephropathy(DN).Methods:A total of 200 patients with DN admitted to Gaoqing County Maternal and Child Health Hospital from January 2021 to December 2024 were selected as the research objects.They were divided into a control group and a study group by the random number table method,with 100 cases in each group.The control group was treated with Benazepril,while the study group was treated with Empagliflozin on the basis of the control group.Both groups were treated for 2 months.The blood glucose related indicators,renal function related indicators,symptom scores and the occurrence of complications were compared between the two groups.Results:After treatment,the fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin in both groups were lower than those before treatment,and the study group were lower than the control group,the differences were statistically significant(P<0.05).After treatment,the 24-hour urine protein quantification,serum creatinine and blood urea nitrogen in both groups were lower than those before treatment,and the study group were lower than the control group,the differences were statistically significant(P<0.05).After treatment,the symptom scores of proteinuria,edema and hypertension in both groups decreased compared with those before treatment,and the study group were lower than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 7.00%,compared with 2.00%in the control group,the difference was not statistically significant(P>0.05).Conclusion:The combined application of Empagliflozin and Benazepril can effectively reduce the glycemic-related indicators of patients with DN,improve renal function,relieve clinical symptoms,and has certain application safety.
郭学峰;董娟
山东省高青县妇幼保健院内科,山东 淄博 255000山东省高青县妇幼保健院儿科,山东 淄博 255000
医药卫生
糖尿病肾病恩格列净贝那普利血糖控制肾功能血糖水平
Diabetic nephropathyEmpagliflozinBenazeprilBlood sugar controlRenal functionBlood sugar level
《中国伤残医学》 2025 (10)
56-59,4
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