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α-硫辛酸对2型糖尿病氧化应激状态和内皮功能的影响

Effects of alpha-lipoic acid on oxidative stress and endothelial function in patients with type 2 diabetes mellitus

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【作者】 钱巧慧冯波孙梅

【Author】 QIAN Qiaohui~,FENG Bo,SUN Mei.~Department of Endocrinology,The Affiliated Shanghai East Hospital,Tongji University,Shanghai 200120,China

【机构】 同济大学附属东方医院内分泌科同济大学附属东方医院内分泌科同济大学附属东方医院超声诊断中心

【摘要】 目的观察α-硫辛酸对2型糖尿病患者氧化应激状态及血管内皮功能的影响。方法30例2型糖尿病患者每日给予α-硫辛酸600mg,治疗2周,检测治疗前后氧化还原系统指标、全血Na+-K+-ATP酶活力以及血流介导的内皮依赖性血管舒张功能。结果治疗后患者血清丙二醛含量降低、超氧化物歧化酶活力增高,差异有非常显著性(P<0.01),谷胱甘肽、维生素E含量增加,Na+-K+-ATP酶活力增强,血流介导的内皮依赖性的血管舒张功能增强,但差异无显著性(P>0.05),总体症状评分明显下降(P<0.01)。结论抗氧化剂α-硫辛酸治疗能改善2型糖尿病患者氧化应激状态及血管内皮功能,缓解临床症状。

【Abstract】 Objective To investigate the effects of alpha-lipoic acid on oxidative stress and endothelial function in patients with type 2 diabetes mellitus.Methods 30 subjects were treated with alpha-lipoic acid intravenously 600mg dosedaily for two weeks.Oxidative stress indexes in serum,Na~+-K~+-ATPase activity in whole blood and flow-mediated vasodilation were evaluated before and after the treatment.Results There were significant decrease in malonaldehyde level and increase in SOD activity (P< 0.01). There were no significant increases in glutathione level,vitamin E level,Na~+-K~+-ATPase activity and endothelium dependent vasodilation (P>0.05).There was significant decrease in TSS (P<0.01).Conclusions Antioxidant alpha-lipoic acid normalized the status of oxidative stress and improved endothelium dependent vasodilation in patients with type 2 diabetes mellitus.

  • 【文献出处】 临床内科杂志 ,Journal of Clinical Internal Medicine , 编辑部邮箱 ,2006年09期
  • 【分类号】R587.1
  • 【被引频次】45
  • 【下载频次】340
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