贝那普利联合阿托伐他汀在2型糖尿病并发肾病患者中的疗效观察
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摘要
目的:研究贝那普利联合阿托伐他汀在2型糖尿病并发肾病患者中的疗效。方法:病例资料来源于我院2011年2月-2015年10月就诊的100例2型糖尿病并发肾病患者。根据密封信封不透光法分组,100例患者分为B组和B+A组。所有患者给予常规降糖治疗,B组加用贝那普利;B+A组加用贝那普利联合阿托伐他汀治疗。比较(1)总有效率;(2)副作用;(3)干预前和干预后患者尿白蛋白/肌酐、尿蛋白排泄率、C反应蛋白、糖化血红蛋白的差异。结果:(1)B+A组对比B组总有效率更高,P<0.05;(2)B+A组、B组副作用接近,P>0.05;(3)干预前两组尿白蛋白/肌酐、尿蛋白排泄率、C反应蛋白、糖化血红蛋白相似,P>0.05;干预后B+A组对比B组尿白蛋白/肌酐、尿蛋白排泄率、C反应蛋白、糖化血红蛋白改善更显著,P<0.05。结论:贝那普利联合阿托伐他汀在2型糖尿病并发肾病患者中的疗效确切,可有效改善患者血糖水平和肾功能,安全性高,值得推广。
objective: to study the bay that split joint atorvastatin in patients with type 2 diabetes mellitus complicated with kidney disease curative effect. Methods: the clinical data fromour hospital in February 2014- October 2015 of 100 patients with type 2 diabetes mellitus complicated with kidney disease. According to seal the envelope not pervious to light grouping approach, 100 patients were divided into group A and B + B group. All patients were given routine hypoglycemic therapy, group B with Mr That split; And B + A group from the split joint atorvastatin treatment.(1) thetotal effective rate;(2) side effects;(3) the intervention before and after intervention in patients with urinary albumin/creatinine, urine protein excretion rate, the difference between c-reactive protein andglycated hemoglobin. Results:(1) compared with group B B + A group total effective rate is higher, P < 0.05;(2) + B group A and group B side close, P > 0.05;(3) the intervention in the first two groupof urinary albumin/creatinine, urine protein excretion rate, c-reactive protein and glycated hemoglobin, P > 0.05; B + A group after the intervention compared with group B urinary albumin/creatinine, urine protein excretion rate, c-reactive protein and glycated hemoglobin improved more significantly, P < 0.05). Conclusion: Mr That split joint atorvastatin in patients with type 2 diabetes mellituscomplicated with kidney disease curative effect, can effectively improve the patients' blood sugar levels and renal function, high safety, is worth promoting.
引文
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