Clinical observation on effect of Xuebijing injection for treatment of patients with diabetic nephropathy / 中国中西医结合急救杂志

ABSTRACT

Objective To investigate the clinical therapeutic effect of Xuebijing injection for treatment of patients with diabetic nephropathy(DN)and its mechanism. Methods 60 DN patients were randomly divided into Xuebijing group and control group(each,30 cases). The patients in both groups received western conventional treatment,and the patients in Xuebijing group received additionally Xuebijing injection intra-venous injection once a day for 14 days. The fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),urinary albumin excretion rate(AER),blood urea nitrogen(BUN),serum creatinine(SCr),hematocrit(HCT),fibrinogen(Fg),whole blood viscosity,total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C)and interleukin -6(IL-6),tumor necrosis factor-α(TNF-α)and urine β2-microglobulin(β2-MG)levels before and after treatment were detected,and the curative effect was also observed in both groups. Results In the control group blood FBG,BUN,SCr,TC,IL-6 and TNF-αafter treatment were significantly decreased and HDL-C significantly increased compared with those before treatment(all P<0.05). Compared with those before treatment,in Xuebijing group after Xuebijing therapy,blood FBG,β2-MG,AER,BUN, SCr,TC,TG,HCT,blood viscosity,IL-6 and TNF-αwere significantly decreased,and HDL-C was obviously increased,but there were no significant differences in HbA1c,LDL-C and Fg before and after treatment. The above indexes were changed significantly in Xuebijing group compared with those in control group〔FBG(μg/L)6.98±1.14 vs. 9.73±1.62,β2-MG(μg/L)32.1±10.9 vs. 57.2±15.1,AER(μg/min)86.0±28.1 vs. 152.0±51.6,BUN (mmol/L)12.4±8.1 vs. 19.5±8.9,SCr(μmol/L)301.2±151.9 vs. 371.3±168.6,HCT0.283±0.075 vs. 0.351±0.059,TC(mmol/L)3.4±1.8 vs. 4.1±1.5,TG(mmol/L)3.4±1.5 vs. 3.6±1.7,HDL-C(mmol/L)1.90±0.75 vs. 1.50±0.25, IL-6 (ng/L)8.96±2.07 vs. 12.75±2.47, TNF-α(pmol/L)17.85±4.75 vs. 20.87±4.90,P<0.05 or P<0.01〕. The total efficiency in Xuebijing group was significantly higher than that in control group(83.3%vs. 36.7%,P<0.01). Conclusion Xuebijing injection has significant protective effects on patients with DN,and the mechanism might be associated with increasing tissue perfusion and inhibiting excessive inflammatory cytokines release.