cr</sub> 較治療前均下降,且聯(lián)合組均低于常規(guī)組,兩組治療后內(nèi)生肌酐清除率( Ccr )、估算腎小球?yàn)V過(guò)率(eGFR)較治療前均升高,且聯(lián)合組均高于常規(guī)組( P<0.05 );兩組治療后 24h 尿蛋白定量、尿白蛋白排泄率(UAER)、UACR較治療前均下降,且聯(lián)合組均低于常規(guī)組( P<0.05 );兩組治療后IL-6較治療前均下降,且聯(lián)合組低于常規(guī)組( P<0.05 );聯(lián)合組總有效率顯著高于常規(guī)組( P<0.05 。結(jié)論:金水寶膠囊聯(lián)合非奈利酮可顯著改善DKD患者腎功能,有效減少蛋白尿排出,還可減輕腎臟炎癥反應(yīng),安全性良好。-龍?jiān)雌诳W(wǎng)" />

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金水寶膠囊聯(lián)合非奈利酮對(duì)糖尿病腎病患者腎功能及UACR的影響

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Effectof Jinshuibao Capsules Combined withFinerenoneonRenal Functionand UACR in Patients withDiabeticKidneyDisease/LIULijuan,WENPeigui,ZHANGQian.//Medical Innovationof China, 2025,22(20): 141-145

[Abstract]Objective:To observe the effect of Jinshuibao Capsules combined with Finerenone on renal functionandurinary albumin-to-creatinine ratio (UACR) in patients with diabetic kidney disease (DKD).Method:A totalof 80 patients who received DKD treatment inof Pingxiang Mining Group Co.from September 2022 to December 2O23 were selected as the research objects,they were divided into the routine group (n=40)and the combined group ( n =40)according to the random number table method. The patients in two groups were given DKD conventional treatment,on this basis,patients with Finerenone were used as the routine group,and patients with Jinshuibao Capsules combined with Finerenone were used as the combined group.The renal function,degree of renal injury,IL-6,clinical efficacyand adverse reactions were compared between two groups.Result:After treatment,BUNandScrin two groups were lowerthan those before treatment,and those inthecombined group were lower than those in the routine group,after treatment, the endogenous creatinine clearancerate (Ccr)and estimated glomerularfiltrationrate (eGFR)intwo groups were higherthanthose before treatment,and those inthecombined group were higher than those in the routine group P <0.05).After treatment, the 24 h urinary protein quantification, urinary albumin excretion rate(UAER)and UACR in two groups were lower than those before treatment,and those in the combined group were lower than those in the routine group ( P <0.05).After treatment,the IL-6 in two groups were lower than those before treatment,and that in the combined group was lower than that in the routine group ( P <0.05).The total effective rate of the combined group was significantly higher than that of the routine group ( P <0.05).Conclusion: Jinshuibao Capsulescombined with Finerenone cansignificantly improve renal function in patients with DKD,effectively reduce proteinuria,and reduce renal inflammation,with good safety.

2型糖尿?。═2DM)是以糖代謝紊亂和持續(xù)性高血糖狀態(tài)為典型臨床表現(xiàn)的異質(zhì)性疾病[1。(剩余5878字)

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