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依帕司他对早期2型糖尿病肾病的保护作用 被引量:13

Protection of type-2 diabetics with early diabetic nephropathy by epalrestat
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摘要 目的探讨依帕司他对早期2型糖尿病肾病尿白蛋白排泄率(UAE)的影响。方法36例2型早期糖尿病肾病患者在原来治疗的基础上,予依帕司他150 mg qd治疗16个月,并在治疗前后测患者UAE、血压、体重指数(BMI)、血清肌酐清除率(Ccr)及血糖、血脂。结果依帕司他治疗前后患者血糖、血脂、血压、BMI、Ccr没有显著变化(P>0.05),治疗后UAE比治疗前UAE显著下降(P<0.01)。结论依帕司他可以阻抑早期糖尿病肾病的病情发展。 Objective To investigate the effect of epalrestat on urinary albumin excretion (UAE) in patients with type-2 diabetics with early diabetic nephropathy. Methods 36 patients with type-2 diabetics with early diabetic nephropathy were administered with epalrestat 150 mg once daily for sixteen months on the basis of prior treatment of type 2 diabetic nephropathy, UAE, body mass index (BMI), blood pressure, blood fat level, creatinine clearance rates (Ccr) , and blood glucose were determined at baseline and in the end of treatment period. Results Blood glucose, blood fat, blood pressure, BMI and Ccr remained stable before and after treatment with epalrestat(P 〉 0.05 ), and a significant decrease in UAE was observed before and after treatment ( P 〈 0. 01 ). Conclusion Epalrestat could prevent the progression of early diabetic nephropathy in patients with type II diabetics.
出处 《广东药学院学报》 CAS 2009年第1期94-96,共3页 Academic Journal of Guangdong College of Pharmacy
关键词 依帕司他 UAE 2型糖尿病肾病 epalrestat UAE type 2 diabetic nephropathy
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参考文献7

  • 1ISO K, TADA H, KUBOKI K, et al. Long-term effect of epalrestat, an aldose reductase inhibitor, on the development of incipient diabetic nephropathy in type 2 diabetic patients [ J ]. Journal of Diabetes and Its Complications, 2001,15 : 241 - 244.
  • 2CRAVEN P, DERUBERTIS F. Sorbinil suppresses glomerular prostag|andin production in the strptozotocin diabetic rat [ J ]. Metabolism, 1989,38:649 - 654.
  • 3PRAGA M. Therapeutic measures in proteinuric nephropathy [J]. Kidney Int,2005,68 : 137 - 141.
  • 4陈亮,杨华章.依帕司他在糖尿病及其并发症治疗中的应用[J].广东医学,2006,27(11):1757-1758. 被引量:4
  • 5VIVIAN E M, RUBINSTEIN G B. Pharmacologic management of diabetic nephropathy[J].Clinical Therapeutics ,2002,24( 11 ) : 1741 - 1755.
  • 6ISHII H,TADA H ,ISOGAI S. An aldose reductase inhibitor prevents glucose-induced increase in transforming growth factor-beta and protein kinase C activity in cultured mesangial cells [ J ]. Diabetologia, 1998,41 : 362 - 364.
  • 7PHILLIPS A, STEADMAN R, MORRISEY K,et al. Exposure of human renal proximal tubular cells to glucose leads to accumulation of type Ⅳ collagen and fibronectin by decreased degradation [ J ]. Kidney Int, 1997,52 : 973 - 984.

二级参考文献15

  • 1罗邦尧,赵咏桔,陈宇红,冯凭,高志红,张本恕,王家弛,郑少雄.依帕司他治疗糖尿病周围神经病变有效性和安全性的临床研究[J].继续医学教育,2005,19(1):58-60. 被引量:22
  • 2胡惠萍,顾德良.依帕司他治疗糖尿病神经源性膀胱30例临床分析[J].海南医学,2006,17(4):60-60. 被引量:4
  • 3林令华,于军会,李志改,许金华.依帕司他治疗糖尿病心脏自主神经病变疗效分析[J].医学信息(西安上半月),2006,19(4):634-635. 被引量:4
  • 4NISHIMURA YABE C.Aldose reductase in the polyol pathway:a potential target for the therapeutic intervention of diabetic complications[J].Nippon Yakurigaku Zasshi,1998,111(3):137-145.
  • 5HOTTA N,SAKAMOTO N,SHIGETA Y,et al.Clinical investigation of epalrestat,an aldose reductase inhibitor,on diabetic neuropathy in Japan:multicenter study.Diabetic Neuropathy Study Group in Japan[J].J Diabetes Complications,1996,10(3):168-172.
  • 6OBROSOVA I G,VAN HUYSEN C,FATHALLAH L,et al.An aldose reductase inhibitor reveres early diabetes-induced changes in peripheral nerve function,metabolism,and antioxidative defense[J].FASEB J,2002,16(1):123-125.
  • 7YASUDA H,HIRAI A,JOKO M,et al.Effect of aldose reductase inhibitor on cutaneous nerve fiber length in diabetic patients[J].Diabetes Care,2000,23(5):705.
  • 8TSUKUSHI S,KATSUZAKI T,AOYAMA I,et al.Increased erythrocyte 3-DG and AGEs in diabetic hemodialysis patients:role of the polyol pathway[J].Kidney Int,1999,55(5):1 970-1 976.
  • 9ISO K,TADA H,KUBOKI K,et al.Long-term effect of epalrestat,an aldose reductase inhibitor,on the development of incipient diabetic nephropathy in Type 2 diabetic patients[J].J Diabetes Complications,2001,15(5):241-244.
  • 10IKEDA T,IWATA K,TANAKA Y.Long-term effect of epalrestat on cardiac autonomic neuropathy in subjects with non-insulin dependent diabetes m ellitus[J].Diabetes Res Clin Pract,1999,43(3):193-198.

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