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中国临床药理学与治疗学 ›› 2009, Vol. 14 ›› Issue (7): 823-826.

• 药物治疗学 • 上一篇    下一篇

银杏叶提取物对糖尿病肾病抗氧化应激及血液流变作用的影响

张丽丽, 刘淑华, 汪福良, 赵志明, 马红梅   

  1. 武汉大学人民医院老年病科, 武汉430060, 湖北
  • 收稿日期:2009-07-08 修回日期:2009-08-06 出版日期:2009-07-26 发布日期:2020-10-30
  • 通讯作者: 刘淑华, 女, 本科, 主任医师、副教授、硕士生导师, 主要从事老年多器官疾病的基础与临床研究。Tel:13971222028  E-mail:LIUSHUHUA200866@163.com
  • 作者简介:张丽丽, 女, 硕士研究生, 主要从事老年多器官疾病的基础与临床研究。Tel:13886199486  E-mail:xiaozhu1133@163.com

Effect of ginkgo leaf extract on oxidative stress and haemodynamics in diabetic nephropathy patients

ZHANG Li-li, LIU Shu-hua, WANG Fu-liang, ZHAO Zhi-ming, MA Hong-mei   

  1. Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China
  • Received:2009-07-08 Revised:2009-08-06 Online:2009-07-26 Published:2020-10-30

摘要: 目的:观察银杏叶提取物对糖尿病肾病(DN)患者血清氧化应激及血液流变学指标的影响。方法:将DN 患者按自愿原则分为银杏叶提取物(美怡欣注射液)治疗组和对照组。观察两组治疗前后血清超氧化物歧化酶(SOD)、谷光甘肽过氧化酶(GSH-Px)、丙二醛(MDA)及血液流变学指标的变化。结果:治疗前两组SOD、GSH-Px、MDA 和血液流变学指标无明显差异。银杏叶提取物治疗后SOD、GSH-Px 较对照组明显升高,MDA 明显降低(P<0.01);尿蛋白定量较对照组明显下降(P<0.01);低切全血黏度、红细胞压积、红细胞聚集指数和血小板聚集率较对照组和同组治疗前显著下降(P<0.01), 而高切全血黏度和血浆黏度下降不明显;红细胞变形性显著增高(P<0.01)。结论:DN 患者细胞抗氧化能力明显降低;银杏叶提取物通过提高抗氧化应激能力及改善血液流变性, 减少蛋白尿对肾脏起保护作用。

关键词: 银杏叶提取物, 糖尿病肾病, 氧化应激, 血液流变学

Abstract: AIM: To investigate the effect of ginkgo leaf extract on oxidative stress and haemodynamics of diabetic nephropathy(DN).METHODS: The patients of DN were divided into ginkgo leaf extract treatment group and control group.The changes of serum superoxide dismutase (SOD), glutathione peroxidase(GSHPx), malondialdehyde (MDA)and hemorheology indexes were observed.RESULTS: Before treatment, serum SOD, GSH-Px, MDA and hemorheology indexes had no significant difference between ginkgo leaf extract treatment group and control group.After treatment, the serum levels of T-SOD and GSH-Px were increased; the level of MDA, hemorheology indexes, erythrocyte aggregation index and platelet aggregation rate were decreased significantly in ginkgo leaf extract treatment group compared with those in control group (P<0.01).CONCLUSION: The antioxidant ability of cells were deceased in DN.Ginkgo leaf extract could protect the renal function by increasing the activities of SOD and GSH-Px, improving the hemorheology, decreasing the albuminuria.

Key words: ginkgo leaf extract, diabetic nephropathy, oxidative stress, hemorrheology

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