摘要:目的: 观察低分子肝素联合ACEI/ARB治疗糖尿病肾病(DN)的疗效。 方法 :将55例2型DN患者随机分为对照组(ACEI/ARB)和治疗组(ACEI/ARB+低分子肝素),疗程8周。比较两组治疗前和治疗后24h尿蛋白,Scr、BUN、血浆白蛋白等指标的变化。 结果 :(1)治疗后治疗组和对照组24h尿蛋白、Scr均显著下降(〖WTBX〗P  lt;001,〖WTBX〗P  lt;005),治疗组比对照组下降更为明显(〖WTBX〗P  lt;005)。(2)治疗后两组血浆白蛋白均增加(〖WTBX〗P  lt;001),治疗组与对照组治疗后比较无明显差异(〖WTBX〗P  gt;005)。(3)治疗后两组BUN均降低(〖WTBX〗P  lt;005),治疗组与对照组治疗后比较无明显差异(〖WTBX〗P  gt;005)。(4)治疗后两组TC和TG均无明显变化。 结论 :联合应用低分子肝素能有效减少DN患者的蛋白尿,改善肾功能。
Abstract: Objective: To study the clinical effects of lowmolecularweight heparin (LMWH) and ACEI/ARB on diabetic nephropathy(DN).Methods :55 patients of type 2 Diabetic nephropathy were randomly divided into treatment group(ACEI/ARB+ LMWH)and control group (ACEI/ARB).SCr,quantity of protein in 24hour urine,BUN and plasma albumin figures were compared between two groups before treatment and eight weeks after treatment.Results :(1)SCr,quantity of protein in 24hour urine had been decreased significantly in both groups(P  lt;001,P  lt;005),and more significantly in treated group than in control group (P  lt;005).(2)Plasma albumin increased significantly in both groups(P  lt;001).But no significantly increase of plasma albumin had been found in treatment group during the followup(P  gt;005).(3)BUN decreased significantly in both groups(P  lt;005), but no significantly decrease of BUN had been found in treatment group during the followup(P  gt;005).(4)There were no significantly difference in TC and TG between two groups.Conclusion : LMWH and ACEI/ARB can ameliorate proteinuria and improve renal function of the patients with DN.

Citation： LIU Zhikang,LI Lieping.. Clinical Observation on LowMolecularWeight Heparin with ACEI/ARB for Diabetic Nephropathy. West China Medical Journal, 2009, 24(10): 2583-. doi: Copy