Koide H, Totsuka Y, Sugisaki T, Kitajima T, Ohmori Y, Kuriyama S, Oi K, Isogai S, Ohi H, Tomino Y
Department of Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Nihon Jinzo Gakkai Shi. 1995 Nov;37(11):644-8.
Clinical effects of an anti-platelet drug (dilazep dihydrochloride) in the microalbuminuric stage of diabetic nephropathy were investigated in a multi-center study. Thirty-seven patients with at the microalbuminuric stage of diabetic nephropathy were examined in the present study. They were administered 300 mg/day of dilazep dihydrochloride (Comelian-Kowa) orally for 6 months. Mean values of albuminuria after the administration of dilazep dihydrochloride were significantly decreased compared with the pre-administration values. Urinary NAG activity was improved after this treatment in the microalbuminuric stage of diabetic nephropathy. Furthermore, impairment of renal function was not observed at that stage. It appears that administration of dilazep dihydrochloride from the early stage of diabetic nephropathy may be useful for the improvement of albuminuria and prevention of renal dysfunction.
在一项多中心研究中,对一种抗血小板药物(盐酸地拉齐普)在糖尿病肾病微量白蛋白尿阶段的临床效果进行了调查。本研究检查了37例处于糖尿病肾病微量白蛋白尿阶段的患者。他们口服300毫克/天的盐酸地拉齐普(Comelian-Kowa),持续6个月。与给药前的值相比,服用盐酸地拉齐普后的蛋白尿平均值显著降低。在糖尿病肾病微量白蛋白尿阶段,这种治疗后尿NAG活性得到改善。此外,在该阶段未观察到肾功能损害。看来从糖尿病肾病早期就给予盐酸地拉齐普可能有助于改善蛋白尿和预防肾功能障碍。