黄芪当归合剂治疗糖尿病肾病的临床观察

目的:观察黄芪当归合剂治疗糖尿病患者的临床疗效。方法:分别用黄芪当归合剂(治疗组32例)和科素亚(对照组22例)治疗糖尿病肾病患者,疗程均为3个月,并比较两组治疗前后的临床症状,血糖水平、脂质代谢,尿蛋白等,观察黄芪当归合剂的治疗效果。结果:总有效率治疗组为80.9%,对照组为63.6%。治疗组治疗后在临床症状、尿蛋白、尿白蛋白和脂质代谢等方面均较治疗前有明显改善(P<0.05);对照组仅尿白蛋白一项治疗后有改善(P<0.05),其余指标治疗前后比较差异无显著性。结论:黄芪当归合剂具有减少24 h尿蛋白,尿白蛋白、改善餐后血糖和脂质代谢等作用。

Clinical observation on treatment of diabetic nephropathy with Huangqi Danggui Mixture

AIM: To observe the effect of Huangqi Danggui Mixture on diabetic nephropathy. METHODS: Using Huangqi Danggui Mixture to treat 32 patients with diabetic nephropathy,In control group 22 patients were treated with Losartan.The therapeutic course was 3 months for both groups.The changes of clinical symptoms,blood glucose,lipid metabolism and urinary albumin were observed and compared. RESULTS: The total effective rate in the treated group was 80.9% while in the control group 63.3%.The symptoms,urinary protein and albumin as well as lipid metabolism in the treated group all significantly improved after treatment (P<0.05),but in the control group improvement only showed in urinary albumin level(P<0.05). CONCLUSION: Huangqi Danggui Mixture has the effects on reducing urinary protein in 24 h,lowering urinary albumiun,improving blood glucose after meal and lipid metabolism.