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Effect of Sancaijiangtang on plasma nitric oxide and endothelin-1 levels in patients with type 2 diabetes mellitus and vascular dementia:a single-blind randomized controlled trial

查看全文 作　　者：Guo [1]Qiang;Cao [2]Wenzhai;Zhao [3]Huan;Zhu [4]Yuxia;Yang [3]Dongdong;Zhong [5]Sen;Chen [4]Qiu 高影响力作者 机构地区：[1]School of Clinical Medicine,Chengdu University of Traditional Chinese Medicine;[2]Medical Department of Cardiology,Zigong First People's Hospital;[3]Medical Department of Neurology,Teaching Hospital of Chengdu University of Traditional Chinese Medicine;[4]Medical Department of Endocrinology,Teaching Hospital of Chengdu University of Traditional Chinese Medicine;[5]Medical Department of Infections,Teaching Hospital of Chengdu University of Traditional Chinese Medicine高影响力机构 出　　处：《Journal of Traditional Chinese Medicine》索引2015年第35卷第4期,共6页高影响力期刊 基　　金：Supported by Research Project for Practice Development of National Traditional Chinese Medicine Clinical Research Bases(No.JDZX2012128) 摘　　要：OBJECTIVE: To observe the effect of Sancaijiangtang powders on plasma nitric oxide and endothelin-1 levels. We sought to identify the common pathological link and mechanism of action for Traditional Chinese medicine in type 2 diabetes mellitus and vascular dementia,and to explicate the material basis for treating the different diseases with the same method in Traditional Chinese Medicine.METHODS: In total,168 patients with type 2 diabetes mellitus and vascular dementia were enrolled in the study,and randomly divided into two groups by simple randomization. Patients in the treatment group received oral Sancaijiangtang powders with pioglitazone hydrochloride three times daily,while patients in the control group received pioglitazone hydrochloride alone. The treatment course was for12 weeks. Mini-mental state examinations(Chinese version) and Montreal Cognitive Assessments(Beijing version) were performed,and fasting plasma glucose,fasting insulin,hemoglobin A1 c,homeostasis model assessment of insulin resistance,plasma nitric oxide and endothelin-1 levels were measured before and after the treatment.RESULTS: The post-treatment levels for all measurements in both groups were better than pre-treatment levels(P < 0.05). The post-treatment levels for all measurements in the treatment group were better than the levels measured in the control group(P < 0.05).CONCLUSION: Type 2 diabetes mellitus and vascular dementia have common pathological mechanisms for insulin resistance and endothelium dysfunction. Sancaijiangtang powders could improve the release of nitric oxide and inhibit the secretion of endothelin-1. Therefore,the material basis exists for treating the different diseases with the same method in Traditional Chinese Medicine. 关 键 词：内皮素-1 血管性痴呆 2型糖尿病 一氧化氮 人血浆 随机化 对照试验 盐酸吡格列酮
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