[Efficacy observation of treating diabetic nephropathy by shenshuaining granule combined telmisartan tablet].

Abstract

OBJECTIVE:

To observe the effect of Shenshuaining Granule (SG) combined telmisartan on serum creatinine (SCr) levels and urinary albumin contents in diabetic nephropathy (DN) patients, and to explore its efficacy.

METHODS:

Totally 204 DN patients were recruited, and further assigned to 3 groups, i.e., the early DN group, the clinical stage of DN with normal renal function group, the clinical stage of DN with insufficient renal function group. Patients in the same group were randomly allocated to the telmisartan treatment group, the SG treatment group, and the combination of SG and telmisartan treatment group, 68 in each group. Patients in the telmisartan treatment group took telmisartan tablet, 80 mg per day, once daily. Those in the SG treatment group took SG, 5 g each time, 3 times per day. Those in the combination of SG and telmisartan treatment group took telmisartan tablet (80 mg per day, once daily) and SG (5 g each time, 3 times per day). The therapeutic course for all was 3 successive months. SCr levels, serum urea nitrogen (BUN),24 h urine microalbumin (24 h U-MA) were detected before and after treatment. Results In three different treatment groups, 24 h U-MA decreased after treatment in the telmisartan treatment group; SCr and BUN decreased after treatment in the SG treatment group; and 24 h U-MA, SCr and BUN decreased after treatment in the combination of SG and telmisartan treatment group (P<0.05). In the clinical stage of DN with insufficient renal function group, SCr obviously increased after treatment in the telmisartan treatment group (P <0. 05). In the 3 DN stages, SCr and 24 h U-MA obviously decreased in the combination of SG and telmisartan treatment group, when compared with the telmisartan treatment group and the SG treatment group (P<0.05). Compared with the telmisartan treatment group, SCr and BUN obviously decreased in the SG treatment group, but 24 h U-MA quantitation obviously increased (P<0.05). BUN obviously decreased in the combination of SG and telmisartan treatment group (P<0. 05).

CONCLUSION:

The combination of SG and telmisartan could decrease urinary albumin, and stabilize SCr levels.

• Authors: Bai-yun Li, Hui Peng, Dong-lin Xiong, Jing Yi, Huan Chen
• Journal: Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine (Zhongguo Zhong Xi Yi Jie He Za Zhi) Vol. 35 Issue 2 Pg. 142-6 (Feb 2015) ISSN: 1003-5370 [Print] China
• PMID: 25881456 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Albumins
• Antihypertensive Agents
• Benzimidazoles
• Benzoates
• Drugs, Chinese Herbal
• Shenshuaining
• Tablets
• Telmisartan

Topics

• Adult
• Albumins (metabolism)
• Antihypertensive Agents (therapeutic use)
• Benzimidazoles (therapeutic use)
• Benzoates (therapeutic use)
• Diabetic Nephropathies (drug therapy)
• Drugs, Chinese Herbal (administration & dosage, therapeutic use)
• Female
• Humans
• Male
• Middle Aged
• Phytotherapy
• Tablets
• Telmisartan