火把花根片干预临床期糖尿病肾病的近期疗效及对血清HGF水平的影响
The Effect of Huobahuagen Tablets in Intervening Diabetic Nephropathy in Clinical Stage and the Influence on the Level of Serum HGF
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摘要: 目的 观察火把花根片干预临床期糖尿病肾病的近期疗效及对血清HGF的影响。方法 将临床期DN患者分为治疗组(火把花根片联合厄贝沙坦胶囊)及对照组(厄贝沙坦胶囊),每组各30例。对照组给予厄贝沙坦胶囊每次150mg,每日1次,早晨空腹口服。治疗组在对照组的基础上加服火把花根片,每次3片,每日3次,早中晚饭后0.5 h口服。测定2组治疗前后血糖(FPG、2 hPG、HbA1c)、血脂(TG、TC、LDL-C、HDL-C)、血SCr、尿ACR、UTP、血清肝细胞生长因子(HGF)水平。 结果 治疗后2组尿ACR、UTP、SBP、DBP、血脂、SCr较治疗前均有所下降(P<0.05~0.01),且治疗组治疗后尿ACR、UTP、SBP、血脂、SCr下降幅度明显优于对照组(P<0.05~0.01),总有效率治疗组(83.3%)优于对照组(40.0%),P<0.01。同时,2组HGF水平较治疗前均明显升高(P<0.01),治疗组优于对照组(P<0.01)。结论 火把花根片可明显降低SCr水平及尿蛋白排泄率,提高血清HGF水平,可能延缓DN进展。Abstract: OBJECTIVE To observe the treating effect of Huobahuagen tablets in intervening diabetic nephropathy in clinical stage and the influence on the level of serum HGF. METHODS DN patients in clinical stage were divided into two groups: the treatment group(Huobahuagen tablets together with Irbesartan capsules) and the control group(Irbesartan capsules), with 30 cases in each group. The control group was given Irbesartan capsule (150 mg) every day in the morning for once and the patients took it with an empty stomach. The treatment group, besides taking the same medicine as prescribed for the control group, was also given Huobahuagen tablets, 3 tablets a day for three times 0.5h after each meal. FPG, 2 hPG, HbA1c, TG, TC, LDL-C, HDL-C, blood SCr, urine ACR, UTP, HGF level were tested. RESULTS ACR, UTP, SBP, DBP, blood fat, and SCr in both groups decreased after the treatment (P<0.05~0.01) and the decrease in the treatment group was sharper than that in the control group (P<0.05~0.01). The total effective rate in the treatment group was better in the treatment group (83.3% vs 40%,P<0.01). HGF levels in both group increased after the treatment (P<0.01). HGF level in the treatment group showed more increase compared with that of the control group (P<0.01). CONCLUSION Huobahuagen tablets can effectively lower the level of blood creatinine and the rate of urinary albumin excretion, increase the level of serum HGF, and possibly slow down DN progression.