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作 者:焦颖华[1] 邢磊[1] 陈继贵[2] 田发明[2]
机构地区:[1]河北联合大学附属医院,河北唐山063000 [2]河北联合大学,河北唐山063000
出 处:《时珍国医国药》2014年第9期2176-2178,共3页Lishizhen Medicine and Materia Medica Research
基 金:河北省科技计划项目(No.112761138)
摘 要:目的探讨解聚复肾宁(JJFSN)对DN患者血清MMP-9、TIMP-1的影响。方法 120例早期2型DN患者,将其随机分为解聚复肾宁组、厄贝沙坦组、解聚复肾宁+厄贝沙坦组、对照组。每组各30例,12周为1疗程,观察各组治疗前后相关指标的变化。结果解聚复肾宁组治疗后空腹血糖、24 h尿微量白蛋白排泄率、血肌酐、糖化血红蛋白等指标显著好转,血清MMP-9显著升高(P<0.05),血清TIMP-1显著降低(P<0.05)。结论解聚复肾宁可能是通过改善血清MMP-9、TIMP-1水平而影响细胞外基质代谢调控系统,延缓DN的进展。Objective To investigate the effects of Jiejufushenning( JJFSN) on MMP-9 and TIMP-1 in serum of patients with diabetic nephropathy. Methods 120 patients with early type Ⅱ DN admitted to our hospital were randomly divided into JJFSN group,Irbesartan group,JJFSN and Irbesartan group,and control group,each group had 30 patients,with 12 weeks as a treatment course. The changes of relevant indicators before and after treatment were observed. Results In the JJFSN group,the fasting plasma glucose,urinary albumin excretion rate,serum creatinine,glycos-ylated hemoglobin A1 c and other indicators were significantly improved,the serum levels of MMP-9 were significantly increased( P 0. 05),the serum levels of TIMP-1 were significantly reduced( P 0. 05). Conclusion Jiejufushenning has a strong influence on regulation and control of extracellular matrix metabolism to delay the development of diabetic nephropathy by improving the serum levels of MMP-9 and TIMP-1.
关 键 词:解聚复肾宁 糖尿病肾病 基质金属蛋白酶-9 金属蛋白酶组织抑制剂-1
分 类 号:R259[医药卫生—中西医结合] R285.6[医药卫生—中医内科学]
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