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Analysis of the effect of Alprostadil in the treatment of elderly patients with diabetes and chronic kidney disease |
PENG Xiang-hang1 CHEN Zhen-hua2 QIU Yu1 CHEN Xin-yu1 LIU Hui-dan1 |
1.Department of Endocrinology,Changping Hospital in Dongguan City,Guangdong Province,Dongguan 523600,China;
2.Department of Endocrinology,Zhangmutou Hospital in Dongguan City,Guangdong Province,Dongguan 523633,China |
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Abstract Objective To investigate the clinical efficacy of Alprostadil in the treatment of elderly patients with diabetes and chronic kidney disease.Methods A total of 58 elderly patients with diabetes and chronic kidney disease treated in Changping Hospital in Dongguan City from October 25,2016 to October 25,2017 were selected as subjects.They were divided into control group and observation group according to the principle of random sampling,29 cases in each group.The patienys in control group were treated with conventional treatment,and the patients in observation group were given Alprostadil on basis of routine treatment.The clinical efficacy,serum creatinine(Cr),24 h urinary albumin excretion rate(24 h UAER),cystatin C,serum creatinine clearance rate (Ccr)levels and adverse reactions were compared between the two groups.Results After treatment,the Cr,24 h UAER and cystatin C in the observation group were lower than those in the control group,and the Ccr was higher than that in the control group,the differences were statistically significant(P<0.05).The total effective rate of clinical treatment in the observation group was 93.1%,which was significantly higher than that in the control group(68.97%),and the difference was statistically significant(P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion In clinic,elderly patients with diabetes and chronic kidney disease can be treated with a certain dose of Alprostadil at the same time of routine treatment,which can improve the clinical efficacy and quality of life.
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