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大剂量厄贝沙坦治疗糖尿病肾病的临床疗效观察 被引量:19

High-dose Irbesartan treatment of diabetic nephropathy clinical curative effects
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摘要 目的观察大剂量的厄贝沙坦对糖尿病肾病(DN)患者疗效的影响。方法糖尿病肾病(DN)患者50例,随机(信封发)分为治疗组(大剂量厄贝沙坦组)以及对照组(小剂量厄贝沙坦组),4周后比较治疗效果及药物不良反应。结果两组患者血压都有降低,但两组差异无统计学意义(P>0.05),尿清蛋白均显著下降(Pa<0.01,Pb<0.05),大剂量组治疗后尿清蛋白下降更为显著,其效果优于小剂量组(P<0.05)。结论大剂量厄贝沙坦的应用对DN患者有独立于血压之外的肾脏保护作用,安全性好。 Objective To observe the High-dose Irbesartan treatment diabetic nephropathy(DN) patients the effect of adenoidectomy.Methods Diabetic nephropathy(DN) patients 50 cases(envelope hair),randomly divided into the treatment group(high-dose Irbesartan group,n=25) and control group(small doses of Irbesartan group,n=25),4 weeks after comparing therapeutic effect and medication side-effects.Results Two groups of patients had lower blood pressure,but the two groups difference was statistically significant(P0.05),urinary albumin were significantly decrease(Pa0.01,Pb0.05),high-dose Irbesartan groups after treating urinary albumin decline,the effect is more significant than small dose group(P0.05).Conclusion High-dose Irbesartan application on the DN patients have independent of blood pressure outside of the renal protection effect,good safety.
作者 梁斌 黄斌
出处 《四川医学》 CAS 2011年第7期1081-1082,共2页 Sichuan Medical Journal
关键词 厄贝沙坦 糖尿病肾病 尿清蛋白 irbesartan diabetic nephropathy proteinuria
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