目的探究坎地沙坦酯联合肾炎康复片治疗对糖尿病肾病患者炎症反应及肾功能的影响。方法选择2018年5月至2019年5月我院收治的糖尿病肾病患者82例,采用随机数字法分为对照组和观察组,每组41例。对照组患者给予坎地沙坦酯治疗,观察组患者给予坎地沙坦酯联合肾炎康复片治疗,疗程3个月。比较两组患者的肾功能、24 h尿蛋白定量与微炎症指标水平。结果治疗前,两组患者的尿素氮(BUN)、血肌酐(Scr)、内脂素、24 h尿蛋白定量、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)与白细胞介素-6(IL-6)水平比较,差异无统计学意义(P>0.05);治疗3个月后,观察组患者的BUN、Scr、内脂素、24 h尿蛋白定量、CRP、TNF-α、IL-6水平显著低于对照组,差异有统计学意义(P<0.05)。结论坎地沙坦酯联合肾炎康复片治疗糖尿病肾病患者,能明显减轻机体的炎症反应,显著改善患者的肾功能。
ObjectiveTo explore the effects of candesartan cilexetil combined with Shenyankangfu tablets on inflammatory response and renal function in patients with diabetic nephropathy. MethodsA total of 82 patients with diabetic nephropathy admitted to our hospital from May 2018 to May 2019 were selected and divided into control group and observation group by the random number method, with 41 cases in each group. The patients in the control group were treated with candesartan cilexetil, whereas the patients in the observation group were treated with candesartan cilexetil combined with Shenyankangfu tablets, for a 3-month treatment course. The renal function, 24-hour urinary protein quantity and micro-inflammatory index levels were compared between the two groups. ResultsBefore treatment, there were no statistically significant differences in the levels of urea nitrogen (BUN), serum creatinine (Scr), visfatin, 24-hour urinary protein quantity, C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) between the two groups (P>0.05). After 3 months of treatment, the observation group yielded lower levels of BUN, Scr, visfatin, 24-hour urinary protein quantity, CRP, TNF-α and IL-6 in the comparison of the control group, with statistically significant differences (P<0.05). ConclusionCandesartan cilexetil combined with Shenyankangfu tablets in the treatment of patients with diabetic nephropathy can significantly relieve the inflammatory response and prominently improve renal function in patients.