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Clinical observation of Tang Tongyin prescription in TCM for patients with early diabetic nephropathy
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DOI   10.11656/j.issn.1673-9043.2014.05.04
Key Words   Tang Tongyin in TCM;early stage of DN;VEGF;proteinuria
Author NameAffiliation
WANG He-qiang Taiping People's Hospital of Dongguan, Dongguan 523900, China
Rehabilitation Hospital of Dongguan, Dongguan 523119, China 
ZHANG Tai-kun Taiping People's Hospital of Dongguan, Dongguan 523900, China 
FU Ying Taiping People's Hospital of Dongguan, Dongguan 523900, China 
LIAO Xin-qian Taiping People's Hospital of Dongguan, Dongguan 523900, China 
ZHOU Yong Taiping People's Hospital of Dongguan, Dongguan 523900, China 
DENG Gan-lin Taiping People's Hospital of Dongguan, Dongguan 523900, China 
DENG Shao-qi Taiping People's Hospital of Dongguan, Dongguan 523900, China 
Abstract
    [Objective] To observe the influence of traditional Chinese medicine Tang Tongyin(TTY)on indexes of patients with early diabetic nephropathy, evaluate the drug safety and reliability of the prescription system clinically, quantitatively evaluate the clinical effect in treating diabetic nephropathy(DN)and explore its possible mechanism for providing a safe, economic, effective prescription of TCM in preventing and treating DN.[Methods] The 100 patients were randomly divided into two groups treating everyone with corresponding methods: the control group(50 cases)and the treatment group (50 cases). At the same time the indicators of patients were detected before and after treatment. [Results] After treatment, BRT, SRT, URT, AST, ALT, ALP, TBIL, IBIL, DBIL, Scr, BUN and GGT of two groups were not changed(P>0.05). VEGF, Alb/Cr, HbA1c, FBG, 2HBG and Insulin of two groups were decreased after treatment when compared with that of before treatment. However, Ccr was increased after treatment compared with that before treatment(P<0.05 or P<0.01). The VEGF, Alb/Cr, FBG, 2HBG, HbAlc and insulin of the treatment group were less than that of the control group. Ccr of the treatment group was increased compared with that of the control group(P<0.05).[Conclusion] TTY is safe and reliable, and it has protective some effects against kidney injury in patients with early stage DN, which is worth promoting clinically.

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