Efficacy of Shenzhuo formula on diabetic kidney disease: a retrospective study

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• 作者：Tian Jiaxing^a ; ^b ; ^c ; Zhao Linhua^d ; Zhou Qiang^d ; Liu Wenke^d ; Chen Xinyan^d ; Lian Fengmei^d ; Tong Xiaolin^d ; ^{xiaolintong66@sina.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Diabetic nephropathies ; Creatinine ; Estimated glomerular filtration rate ; Shenzhuo formula
• 刊名：Journal of Traditional Chinese Medicine
• 出版年：2015
• 出版时间：15 October 2015
• 年：2015
• 卷：35
• 期：5
• 页码：528-536
• 全文大小：1537 K

文摘

To observe the efficacy of a traditional Chinese medicine, Shenzhuo formula, on patients with diabetic kidney disease (DKD).

Methods

Eighty-eight outpatients with DKD were enrolled. Changes in estimated glomerular filtration rate (eGFR), creatinine clearance, serum creatinine, blood-urea-nitrogen, albuminuria, glycosylated hemoglobin (Hb_A1C), blood pressure, and lipid profile were measured and analyzed before and after intervention with Shenzhuo formula for 1, 3, 6, 9, 12, and 18 months.

Results

Compared with the baseline amounts, serum creatinine decreased, and eGFR and creatinine clearance increased, significantly after intervention for 1, 3, 6, 9, 12, and 18 months (all P < 0.05). Mean eGFR increased by 2.11 mL/min per 1.73 m²/y after 18-month treatment. Urinary protein at 24 h decreased significantly after 1, 3, 9, and 12 months (P < 0.05). Hb_A1C decreased significantly (P < 0.05) after 3, 6, 9, 12, and 18 months, and systolic blood pressure decreased significantly (P < 0.05) after 1, 3, and 6 months. Total cholesterol decreased significantly (P < 0.05) after 1, 3, 6, and 18 months. Triglyceride and low-density lipoprotein-cholesterol decreased significantly (P < 0.05) after 1 and 3 months.

Conclusion

Shenzhuo formula can improve eGFR and possibly slow DKD progression. Shenzhuo formula can also lower Hb_A1C, lipid levels and blood pressure.