Liu Dan, Tang Ju-ying, Yan Li
Department of Endocrinology, the Second Affiliated Hospital of SUN YAN-SEN University, Guangzhou 510120.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Dec;30(12):1265-8.
To investigate the effect of compound Danshen Dripping Pill (CDDP) on peripheral arterial intima-media thickness (IMT) in patients newly diagnosed as type 2 diabetes mellitus.
One hundred and eight patients were equally randomized into 3 groups, in addition to the basic hypoglycemic, hypotensive and lipid-regulation treatment, they were administered orally with aspirin (0.1 g, once daily), vitamin E (0.1 g, twice daily) and CDDP (10 pills, thrice daily) for 18 months, respectively. The conventional cardiovascular risk factors, such as hyperglycemia, lipids profile, and homeostasis model assessment of insulin resistance (HOMA-IR) as well as ultrasound measurement of peripheral arterial IMT before and after treatment were compared.
In the group treated with CDDP after treatment, the levels of HbA1c, serum total cholesterol and low density lipoprotein cholesterol (LDL-C) were significantly lower (all P<0.01), HOMA-IR was higher than those in the other two groups; while IMTs of carotid, iliac and femoral arteries were insignificantly different among them (P>0.05); however, the increment of carotid IMT in the CDDP treated group was less than that in the aspirin treated group (P<0.05), and that of femoral IMT was less than both the aspirin and vitamin E treated groups (P<0.05).
For the patients with newly diagnosed type 2 diabetes, additional administration of CDDP to the conventional treatment could exert beneficial effects on blood glucose controling, and lipid profile improvement and delay of arterial intima-media proliferation.
探讨复方丹参滴丸(CDDP)对新诊断2型糖尿病患者外周动脉内膜中层厚度(IMT)的影响。
108例患者被随机均分为3组,除进行基本的降糖、降压及调脂治疗外,分别口服阿司匹林(0.1 g,每日1次)、维生素E(0.1 g,每日2次)和CDDP(10丸,每日3次),疗程18个月。比较治疗前后的传统心血管危险因素,如血糖、血脂谱、胰岛素抵抗稳态模型评估(HOMA-IR)以及外周动脉IMT的超声测量值。
治疗后,CDDP治疗组的糖化血红蛋白、血清总胆固醇和低密度脂蛋白胆固醇(LDL-C)水平显著降低(均P<0.01),HOMA-IR高于其他两组;而颈动脉、髂动脉和股动脉的IMT在三组间差异无统计学意义(P>0.05);然而,CDDP治疗组颈动脉IMT的增加幅度小于阿司匹林治疗组(P<0.05),股动脉IMT的增加幅度小于阿司匹林和维生素E治疗组(P<0.05)。
对于新诊断的2型糖尿病患者,在常规治疗基础上加用CDDP可对血糖控制、血脂改善及动脉内膜中层增殖延缓产生有益作用。