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目的：观察奥扎格雷钠与黄芪注射液联合治疗糖尿病肾病的疗效。方法：将84例早期糖尿病肾病患者随机分为3组，每组28例，在常规治疗的基础上，A组加用黄芪注射液，B组加用奥扎格雷钠注射液，C组加用黄芪注射液与奥扎格雷钠注射液，疗程均为20d。观察治疗前后各组尿白蛋白排泄率（UAER），血尿素氮（BUN），血清肌酐（SCr），糖化血红蛋白（HbAlc）的变化。结果：糖化血红蛋白，血清肌酐，血尿素氮，尿白蛋白排泄取：3组治疗后均比治疗前显著下降（P〈0．01），C组下降幅度优于A组和B组（P〈0．05）。结论：奥扎格雷钠联合黄芪注射液治疗糖尿病肾病能降低糖化血红蛋白，显著降低尿白蛋白排泄率，同时改善肾功能。 相似文献
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目的:总结36例糖尿病足的护理。方法:采用皮肤护理、饮食护理、用药护理、创口护理、心理护理等多方位的护理。结果:感觉恢复正常21例,足溃疡治愈9例,控制感染2例,有效率88.9%。结论:采用多方位的护理,能有效降低本病并发症的发生率、致残率。 相似文献
3.
Ying-ying LU Xian YANG Wen-qing CHEN Zhen-yu JU Zhang-fei SHOU Juan JIN Xiao-hui ZHANG Jiang-hua CHEN Hong JIANG 《Journal of Zhejiang University. Science. B》2014,15(6):566-574
Aging is one of the contributing risk factors for kidney diseases. Accumulating evidence prompts the view that telomere length in kidney tissue cells is an indicator for organismal aging. Previously identified aging markers (cathelin-related antimicrobial peptide (CRAMP), stathmin, elongation factor-1α (EF-1α), and chitinase) were associated not only with telomere driven aging in mice but also with human aging and chronic diseases. This study focuses on the relationship between these biomarkers and IgA nephropathy (IgAN) progression in the Chinese population. For 260 individuals, the four markers are determined in blind datasets using direct enzyme-linked immunosorbent assay (ELISA) and immunofluorescence staining. The expression levels of CRAMP and chitinase increased in blood plasma, urine, and kidney tissues during human IgAN progression. And for the other nephropathy, such as systemic lupus erythematosus (SLE), diabetic nephropathy (DN), and focal segmental glomerulosclerosis (FSGS), there is no protein upregulation with telomere shortening. Moreover, a combination of CRAMP and chitinase can distinguish patients with IgAN from healthy individuals with 88.2%/92.5% (plasma) and 74.3%/84.2% (urine) sensitivity/specificity. These data provide the experimental evidence that telomere shortening and related inflammatory proteins are associated with human IgAN, and it could be a new direction for the disease progression study. 相似文献
4.
对肝肾疾病进行转铰蛋白(Transferren简称TF)和铜蓝蛋白(Ceruloplasmin简称CP)测定,结果表明:各组肝炎病人的TF均显著低于正常组,且谷丙转氨酶异常和HBsAg阳性者TF含量明显低于正常者,TF可作为判断肝病预后的一个指标。肾炎病人的TF也比正常人低,CP含量各组不一,肝癌患者的CP(52.44±8.73mg％)显著高于正常人(46.75±7.92mg％),乙型肝炎病人和正常组间未见差异.肝豆状核变性患者CP非常显著低于正常人,故检测CP有助于鉴别肝硬化和肝癌,同时对临床诊断肝豆状桉变性提供一项可靠的客观指标. 相似文献
5.
[目的]研究Ⅱ型糖尿病肾病(DN)患者血和尿中IL-6的含量与糖尿病微血管病变的关系。[方法]采用ELISA法对48例Ⅱ型糖尿肾病(组1)患者血液、尿液及外周单个核细胞PHA体外刺激培养上清液(CPBMCS)中的IL-6含量进行检测,并与46例肾功能正常的Ⅱ型糖尿病组(组2)及48例健康人(组3)比较。[结果]组1血和尿中的IL-6含量明显升高,其尿液中含量与组2和组3比较,分别为(P<0.01和P<0.001),血浆中含量与组2和组3比较,分别为(P<0.05和P<0.01)。组2和组3之间比较,血浆和尿液中含量无明显差异(P均>0.05),组1患者CPBMCS中的IL-6含量与组2,组3之间无明显异(P均>0.05)。[结论]血浆和尿液中IL-6的检测可作为判断Ⅱ型糖尿病肾病病情活动的一项有意义的指标。 相似文献
6.
马兜铃酸的结构分析和性质研究 总被引：8，自引：0，他引：8
对马兜铃酸类的结构、检测方法、临床应用及其毒副作用进行了分析，并对马兜铃酸肾病进行了讨论。 相似文献
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8.
Fang LIU Min WU Yan-huan FENG Hui ZHONG Tian-lei CUI You-qun HUANG Ya-ping LIANG Yong-shu DIAO Li ZANG Ling LI Jing ZANG Hong-yu QIU Song-min HUANG Ping FU 《Journal of Zhejiang University. Science. B》2013,14(11):1033-1040
The aim of this study was to understand the characteristics of blood pressure(BP)variability in subjects with diabetic nephropathy(DN),and identify the probable predictors affecting BP variability.Fifty-one chronic kidney disease(CKD)-hypertensive patients without diabetes(NDN group)and sixty type 2 diabetic patients with overt DN(DN group)were enrolled in this study.The values of short-term BP variability were obtained from 24 h ambulatory BP monitoring(ABPM).Variance analysis or nonparametric analysis revealed that 24-h systolic BP variability and nighttime systolic BP variability of the DN group were significantly higher than those of the NDN group[(12.23±3.66)vs.(10.74±3.83)mmHg,P<0.05;(11.23±4.82)vs.(9.48±3.69)mmHg,P<0.05].Then the patients of the DN group were divided into two groups according to glycated hemoglobin(HbA1c)level:Group A(HbA1c<7%)and Group B(HbA1c≥7%),and the t-test showed that patients in Group B had larger 24-h diastolic,daytime diastolic,and nighttime systolic/diastolic BP variability compared with Group A.In the DN group,partial correlation analysis revealed that HbA1c exhibited a strong association with 24-h diastolic,daytime diastolic,nighttime systolic and diastolic BP variability(P<0.001,P<0.001,P<0.05,and P<0.001,respectively).Taken together,larger short-term BP variability was detected in hypertensive type 2 diabetic patients with overt nephropathy and renal insufficiency.It may imply that the optimal BP variability level could benefit from a better glycaemic control. 相似文献
9.
Richa Vaishya Janardhan Singh Harbans Lal 《Indian journal of clinical biochemistry : IJCB》2008,23(2):195-197
Effect of irbesartan, an angiotensin II receptor antagonist, was studied in streptozotocin (STZ) induced diabetic nephropathy.
Polyuria, proteinuria, blood urea, creatinine clearance, and urinary electrolytes were determined to assess kidney damage.
There was a significant increase in urine volume, urinary protein and blood urea in STZ induced diabetic rats. On the other
hand, irbesartan treatment resulted in a significant reduction in urinary protein and blood urea in these rats. Irbesartan
treatment also improved creatinine clearance and exhibited a natriuretic effect in these animals. Results suggest that irbesartan
treatment ameliorate STZ induced diabetic nephropathic changes, in rats. 相似文献
10.
薛伟善 《沈阳体育学院学报》2012,31(4):83-85
为了解运动强度相同而运动时间不同对鼠肌葡萄糖载体-4(Glut-4)蛋白表达及含量的影响,采用制备糖尿病大鼠模型方法将SD大鼠分为正常对照组、糖尿病对照组、糖尿病运动组(20min组、40min组、60min组和80min组)等6组,以20m/min的强度进行8周的跑台运动,用Western blot免疫印迹法检测运动后GLUT-4蛋白含量。结果表明,与糖尿病对照组相比,运动时间20min、40min组、60min组和80min组的股四头肌Glut-4蛋白含量显著升高(P<0.01);与20min组相比,运动时间40min组、60min组及80min组的Glut-4蛋白含量显著升高(P<0.01),认为运动时间对Glut-4蛋白含量产生明显的影响,运动时间达40min以上可能具有更好的效果。 相似文献