期刊文献+

胰岛素泵强化治疗老年早期糖尿病肾病的影响 被引量:10

胰岛素泵强化治疗老年早期糖尿病肾病的影响
下载PDF
导出
摘要 目的探讨胰岛素泵强化对老年女性早期糖尿病肾病的影响。方法将60例老年女性早期糖尿病肾病患者随机分为两组,每组各30例。观察组使用门冬胰岛素泵进行血糖控制,对照组使用普通胰岛素进行血糖控制,然后比较两组疗效。结果两组治疗前后的尿微量白蛋白排泄率(UAER)和β2微球蛋白(β2-MG)存在显著差异,但观察组比对照组更为明显,P<0.05;在血糖比较上,除凌晨3点,其余各时间段两组血糖均较治疗前有显著下降,P<0.05,但两组治疗前后的内生肌酐清除率(Ccr)却没有显著变化,P>0.05。结论胰岛素泵强化治疗能显著降低患者的尿微量白蛋白和β2微球蛋白,治疗效果比较理想,值得临床推广。 Objective To explore the effect of insulin pump intensive treatment for the elderly female with early diabetic nephropathy. Methods 60cases with DN were rando-mly divided into observation(3casee, was given by insulin pump intensive treatment) grou-p and control group(30cases,was given by treatment of ordinary insulin),and then compare the two groups’ effect. Results The two groups’UAER and β2-MG had significant differe-nce, but the observation group’s was more obvious ,for the blood sugar, except the am 3:00, all the period had significant change, P0.05; But its Ccr had no significant change, P0.05. Conclusion The treatment of insulin pump intensively could significantly decree-se the patents’UAER and β2-MG,should be promoted.
出处 《当代医学》 2011年第8期106-107,共2页 Contemporary Medicine
关键词 胰岛素泵 糖尿病肾病 尿微量白蛋白 Β2微球蛋白 Insulin Pump DN AER β2-MG.
  • 相关文献

参考文献6

二级参考文献30

  • 1杨咏梅,崔香丽.2型糖尿病早期的胰岛素治疗观察[J].中国误诊学杂志,2005,5(4):682-682. 被引量:3
  • 2金世鑫,王晓霞.改善β细胞功能适时早用胰岛素——2型糖尿病胰岛素临床应用方案和实施指引[J].实用糖尿病杂志,2005,1(3):8-11. 被引量:20
  • 3李春霖,田慧,潘长玉,陆菊明.老年糖耐量受损人群合并代谢异常及其转归分析[J].中华内分泌代谢杂志,2005,21(3):230-232. 被引量:16
  • 4Mogensen C E. Natusl history of renal functional abnormalities in human diabetes mellitus:from normoalbuminuria to incipient and overt nephropathy. New York:livingstone, 1989.19. 被引量:1
  • 5Aram V, George L, Henry R, et al. JNC 7 Express: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatmem of High Blood Pressure. U. S. National Lnstiute of Health-National Heart,Lung and Blood Institute. JAMA.2003,289:19. 被引量:1
  • 6The Diabetes control and Complications Trial Research group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin dependent diabetes meiiims. N Engl J Med, 1993,329:977. 被引量:1
  • 7UK prospective Diabettes study(UKPDS)Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes(UKPDS33).Lancet, 1998,352:837. 被引量:1
  • 8Mogensen CE.Natusl history of renal functional abnormalities in human diabetes mellitus:from normal buminuria to incipient and overt nephropathy[M].New York:Livingstone,1989:19. 被引量:1
  • 9王海燕.肾脏病学[M].3版.北京:人民卫生出版社,2008:1414-1419. 被引量:2
  • 10[No authors listed].The effect of intensive treatment of diabetes on the development and progression of long-team complications in insulin-dependent diabetes mellitus.The Diabetes Control and Complications Trial Research group[J].N Engl J Med,1993,329(14):977-986. 被引量:1

共引文献20

同被引文献75

引证文献10

二级引证文献43

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部