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洛伐他汀与依那普利对慢性肾脏疾病蛋白尿的影响 被引量:2

Effects of the Combination of Enalapril and Lovastatin on Albuminuria in Patients with Chronic Kidney Disease
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摘要 目的:探讨洛伐他汀与依那普利治疗对慢性。肾脏疾病的作用。方法:选择2002年1月~2006年2月门诊及住院的非糖尿病的58例慢性。肾脏疾病患者随机分为治疗组和对照组。对照组给予常规治疗,其中包括每灭口服依那普利5mg,2次/d,治疗组在上述治疗的基础上每晚加服20mg洛伐他汀。比较两组治疗前及治疗后3、6个月的血糖、血压、尿蛋白定量(Upr)、血肌酐(Scr)等指标。结果:两组治疗后较治疗前Upr和Scr均明显下降(P〈0.05),治疗组Upr和Scr下降比对照组明显(P〈0.05,P〈0.01)。结论:对于慢性。肾脏疾病患者,ACEI与他汀类药物联用,可以更好地达到保护肾脏的目的。 Objective: To investigate the therapeutic effects of combination of enalapril and lovastatm on the chronic kidney disease(CKD). Methods: 58 patients with CKD were randomly divided into two groups, the controlled group received conventional therapY(including 5 microgram of enalapril, bid,PO ) ,while the treated group was added orally 20 microgram of lovastatin every night. The blood glucose, blood pressure , Upr and Scr in the patients of two groups were compared before treatment and 3 and 6 months after treatment. Results:Upr and Scr decreased more significantly after therapy in both groups than that before(P〈0. 05). While they decreased more significantly in treated group than that in control group (P〈0. 05, P〈0. 01). Conclusion: ACEI in combination with statin may show more protective effects for patients with chronic kidney disease.
作者 潘慧娟 霍光
出处 《医学理论与实践》 2007年第2期141-142,共2页 The Journal of Medical Theory and Practice
关键词 依那普利 洛伐他汀 蛋白尿 慢性肾脏疾病 Enalapril,Lovastatin, Albuminuria,Chronic kidney disease
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  • 1Maschio G,Alberti D,Janin G,et al.Effect of the angioternsinconverting enzyme inhitor benazepril on the progression of chronic renal insufficiency[J].N Engl J Med,1996,334(15):939.
  • 2Gronbek H,Vogel I,Qstery R,et al.Effect of octreotide captopril or insulin on renal changes and UAE in long-term experiment diabetes[J].Kidney Int,1998,53 (1):173.
  • 3Nakamura T,Ushiyama C.Hirokwa K,et al.Effect of cervastatin on urinary albumin exretion and plasma endthelin-lconcentations in type2 diabetes patients with microalluminuria and dyslipidemia[J].A J Nephrol,2001,21 (6):449-454.
  • 4史卫国,孟军.他汀类调脂药的多向性效应[J].临床荟萃,2000,15(20):955-957. 被引量:13
  • 5Tesar V.Some important news in clinical nephrology in years 2003-2004[J].Vnitr Lek,2004,50 (Suppl I):81-87.

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  • 1徐海山,庄永泽.他汀类药物对肾脏非降脂保护作用[J].中国中西医结合肾病杂志,2007,8(3):185-186. 被引量:2
  • 2Hunsicker LG,Atkins RC,Lewis JB,et al.Im pact of irbesartan,blood pressure control,and proteinuria on renal outcomes in the Irbesartan Di- abetic Nephrepathy Trial[J].Kidney IntSuppl,2004, 11 (92):S99-S 101.
  • 3陈灏珠,主编.实用内科学.第12版.北京:人民卫生出版社,2005.2004-2010.
  • 4Hass M. Histologic subclassificatiom of IgA nephropathy: A clin-icopathologic study of 244 cases. Am J Kidney Dis, 1997,29:829-842.
  • 5Asaba K,Tojo A, Onozato ML, et al. Long-term renal prognosisof IgA nephropathy with therapeutic trend shifts. Intern Med,2009,48:883.
  • 6Kawamoto S,Kawamura T,Miyazaki Y,et al. Effects of atorvas-tatin on hyperlipidemia in kidney disease patients. Nippon J inzoGakkai Shi,2007,49:41-48.
  • 7Yagi S, Aihara K, Ikeda Y, et al. Pitavastatin, an HMG-CoA re-ductase inhibitor, exerts eNOS-independent protective actions a-gainst angiotensin H induced cardiovascular remodeling and renalinsufficiency. Circ Res,2008,102:68-76.
  • 8Buemi M,Senatore M,Corica F,et al. Statins and progressive re-nal disease. Med Res Rev, 2002,22,76-84.
  • 9Kostapanos MS,Milionis HJ, Elisaf MS. An overview of the ex-tra-lipid effects of rosuvastatin. J Cardiovasc Pharmacol Ther,2008,13:157-174.
  • 10Sharyo S, Yokota-Ikeda N, Mori M, ct al. Pravastatin improvesrenal ischemia-reperfusion injury by inhibiting the mevalonatepathway. Kidney Int, 2008,74 : 577-584.

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