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中国临床药理学与治疗学 ›› 2004, Vol. 9 ›› Issue (9): 1061-1064.

• 研究原著 • 上一篇    下一篇

贝那普利对糖耐量减低患者的干预作用

夏礼斌, 黄晓晖1, 孙瑞元2   

  1. 皖南医学院弋矶山医院内分泌科,2安徽省药物临床评价中心芜湖241001, 安徽;
    1安徽医科大学药学系, 合肥230032, 安徽
  • 收稿日期:2004-08-14 修回日期:2004-09-10 出版日期:2004-09-26 发布日期:2020-11-23
  • 通讯作者: 夏礼斌, 男, 硕士, 讲师, 主治医师, 研究方向:内分泌与免疫药理学。Tel:0553-5739315 E-mail:xialibin220 @yahoo. com. cn
  • 作者简介:孙瑞元, 男, 教授, 主任, 研究方向:定量药理学与生物统计学。

Intervention of bennazepril in the patients with impaired glucose tolerance

XIA Li-Bin, HUANG Xiao-Hui1, SUN Rui-Yuan2   

  1. Department of Endocrinology, Yijishan Hospital of Wannan Medical College,2Anhui Provincial Center for Drug Clinical Evaluation, Wuhu 241001, Anhui, China;
    1Department of Pharmacology, Anhui Medical University, Hefei 230032, Anhui, China
  • Received:2004-08-14 Revised:2004-09-10 Online:2004-09-26 Published:2020-11-23

摘要: 目的: 观察贝那普利对糖耐量减低(IGT) 患者的干预作用。方法: 75 g 葡萄糖耐量试验(OGTT) 确诊IGT 70 例, 其中男31 例, 女39 例, 随机分成贝那普利组、对照组各35 例。对照组进行饮食、运动控制, 贝那普利组除饮食、运动控制外, 加贝那普利10 mg qd, 观察12 周。结果: 治疗后两组空腹血糖(FBG) 及舒张压均下降, 但两组间差异无显著的统计学意义(P >0. 05); 对照组治疗后收缩压无下降, 而贝那普利组有所下降(P<0. 01); 两组治疗后的餐后2 h 血糖(P2HBG) 及糖化血红蛋白(HbA1c) 均下降, 贝那普利组优于对照组(P<0. 05) 。结论: 贝那普利可降低糖耐量减低患者P2HBG 、HbA1c及收缩压水平, 提示贝那普利可改善糖耐量减低患者代谢紊乱。

关键词: 糖耐量减低, 贝那普利, 空腹血糖, 餐后2 h 血糖, 糖化血红蛋白

Abstract: AIM: To explore the intervention of bennazepril in patients with impaired glucose tolerance (IGT).METHODS: Seventy patients with first diagnosed IGT were enrolled in this study. The control group involved 35 patients dealt with diet and exercise, and the trial group involved 35 patients dealt with diet, exercise and bennazepril. The changes of fasting blood glucose (FBG), 2-hour postprandial blood glucose (P2HBG ), systolic blood pressure (SBP), diastolic blood pressure (DBP) and glycosylated hemoglobin (HbA1c) values were assayed.RESULTS: After the treatment of 12 weeks, the decreased values of fasting blood glucose and diastolic blood pressure were not difference (P >0. 05), but in the trial group, decreased values of 2-hour postprandial blood glucose and glycosylated hemoglobin A1c decreased (P<0. 05), and systolic blood pressure also decreased (P<0. 01).CONCLUSIONS: Bennazepril can decrease the 2-hour postprandial blood glucose, glycosylated hemoglobin A1c and systolic blood pressure. It suggests that Bennazepril can improve the metabolic disorder in patients with IGT.

Key words: impaired glucose tolerance, bennazepril, fasting blood glucose, 2 hour postprandial blood glucose, glycosylated hemoglobin A1c

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