[利马索在非酒精性脂肪性肝炎合并糖尿病2型患者代谢综合征中的应用]。

S V Dudorenko, A L Kovalenko, S M Prokopenko, E V Belogurova
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引用次数: 0

摘要

目的:本研究的目的是评估纳入利马索治疗代谢综合征合并非酒精性脂肪性肝炎和2型糖尿病患者的有效性。材料与方法:对76例非酒精性脂肪性肝炎合并2型糖尿病合并代谢综合征患者的资料进行分析。患者按性别、年龄随机分组,根据治疗方案分为2组:I组(主要- 38例)患者采用基础治疗联合利马索:静脉滴注400 ml,每天1次,连用10天;II组(比较- 38例)患者采用基础治疗联合静脉滴注腺苷:400 mg,在NaCL 0.9%稀释溶液中400 ml,每天1次,连用10天。除了标准的临床和实验室检查外,还研究了治疗前和治疗结束后肝脏活性、脂质和碳水化合物代谢的生化参数的动态变化。结果:发现琥珀酸酯类药物(雷马索)纳入方案后,通过减少胆汁淤积和细胞溶解的表现,改善脂糖代谢,减轻代谢综合征的严重程度。结果,显著降低了主要临床综合征的严重程度:营养衰弱综合征46%,消化不良综合征分别为46%和15%。
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[THE USE OF REMAXOL IN THE TREATMENT OF METABOLIC SYNDROME IN PATIENTS WITH NONALCOHOLIC STEATOHEPATITIS AND DIABETES MELLITUS 2 TYPE].

Aim: The aim of the study was to assess the effectiveness of the inclusion in the scheme remaxol treatment of metabolic syndrome in patients with nonalcoholic steatohepatitis and diabetes mellitus 2 type.

Materials and methods: Data of 76 patients with metabolic syndrome in a non-alcoholic steatohepatitis and type 2 diabetes were analyzed. Patients were randomized by gender and age, and are divided into 2 groups according to the scheme of therapy: patients in group I (major - 38) conducted a basic therapy in combination with remaxol: intravenous infusion of 400 ml of 1 times a day for 10 days, group II patients (comparison - 38) combined basic therapy with intravenous ademetionine: 400 mg, in a solution diluted NaCL 0,9% 400 ml 1 time per day for 10 days. In addition to standard clinical and laboratory tests were studied biochemical parameters of liver activity, lipid and carbohydrate metabolism in the dynamics: before therapy and after its completion.

Results: It was found that the inclusion in the scheme of drugs from the group of succinates (remaxol) reduces the severity of metabolic syndrome by reducing the manifestations of cholestasis and cytolysis, and improving lipid and glucose metabolism. As a result, significantly reduced the severity of the main clinical syndromes: asthenovegetative 46% and dyspeptic syndromes - 46% and 15%, respectively.

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