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阿托伐他汀对有妊娠期糖尿病病史的2型糖尿病肾病患者蛋白尿的影响:一项临床研究。

Effects of atorvastatin on proteinuria of type 2 diabetic nephropathy in patients with history of gestational diabetes mellitus: A clinical study.

作者信息

Abbasalizadeh Fatemeh, Saleh Parviz, Dousti Rana, Piri Reza, Naghavi-Behzad Mohammad, Abbasalizadeh Shamsi

机构信息

Department of Gynecology and Obstetrics, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Chronic Kidney Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Niger Med J. 2017 Mar-Apr;58(2):63-67. doi: 10.4103/0300-1652.219348.

Abstract

BACKGROUND

Gestational diabetes is known as one of the diseases through pregnancy. In the present study, changes in proteinuria after atorvastatin administration among patients with history of gestational diabetes were studied.

MATERIALS AND METHODS

In this randomized clinical trial, 42 patients were included in the study. Atorvastatin was administered for 21 patients, and 21 patients were designated as control group. Lipid profile, protein, and 24 h urine creatinine (uCr) levels were determined in the beginning and 3 months after intervention. < 0.05 was considered statistically significant.

RESULTS

Lipid profile in intervention group was enhanced; low-density lipoprotein (LDL) had decreased while triglyceride had not changed and high-density lipoprotein had been increased. There was no statistically significant change in serum Cr, serum urea, estimated glomerular filtration rate, uCr, urine volume, 24-h urine protein level, or urine protein/Cr ratio on both groups during the study; also, there was no statistically significant difference between groups.

CONCLUSIONS

Although LDL level decreased after atorvastatin therapy, atorvastatin therapy had no effect on the level of proteinuria or other parameters related to kidney function.

摘要

背景

妊娠期糖尿病是妊娠期常见疾病之一。本研究旨在探讨阿托伐他汀对有妊娠期糖尿病病史患者蛋白尿的影响。

材料与方法

本随机临床试验纳入42例患者。21例患者给予阿托伐他汀治疗,21例患者作为对照组。在干预开始时和干预3个月后测定血脂、蛋白质和24小时尿肌酐(uCr)水平。P<0.05被认为具有统计学意义。

结果

干预组血脂水平改善;低密度脂蛋白(LDL)降低,甘油三酯无变化,高密度脂蛋白升高。研究期间两组血清肌酐、血清尿素、估计肾小球滤过率、uCr、尿量、24小时尿蛋白水平或尿蛋白/Cr比值均无统计学意义的变化;两组之间也无统计学意义的差异。

结论

尽管阿托伐他汀治疗后LDL水平降低,但阿托伐他汀治疗对蛋白尿水平或其他与肾功能相关的参数无影响。

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