药物与临床
XIANG Guang-da;HAN Fang;ZHAO Lin-shuang;HOU Jie;LE Ling
2006, 25(10): 1019-1022.
To probe into the protective effect of vitamin C on the function of vascular endothelium in patients with Type Ⅱdiabetes mellitus.Methods30 patients with newly diagnosed Type Ⅱ diabetes mellitus were randomly divided into two equal groups: the treatment group and the control group. Patients of the control group were subjected to combined intervention therapy including diabetic diet, regular aerobic exercise and insulin. On the basis of these measures, patients of the treatment group were given each 0.1 g of vitamin C PO, t.i.d.. The course of treatment in both groups lasted 6 months. 14 healthy individuals served as normal controls. The endothelium- dependent arterial dilation (EDD) mediated by the brachial arterial blood flow and endothelium- independent arterial dilation mediated by nitroglycerin were measured with the high resolution extravascular ultrasound technique before and after the intervention therapy. ResultsIn comparison with the normal controls, the Type Ⅱ diabetics had significantly higher levels of fasting blood glucose(FBG),2h postprandial blood glucose(2h PG),serum total cholesterol(TC) and triglycerides(TG) before and after the intervention therapy (P < 0.05 or P < 0.01). In the patients with Type Ⅱ diabetes , the level of serum low density lipoprotein-cholesterol(LDL-C) was significantly higher (P < 0.05), while that of high density lipoprotein-cholesterol(HDL-C) was apparently lower(P<0.05) than those of the normal controls before the treatment. The serum levels of HbA1C, FBG, 2 h PG, TC,TG and LDL-C in patients of both the treatment group and control group after the treatment were significantly lower than those before the treatment (P < 0.05 or P < 0.01). The EDD in patients with Type Ⅱ diabetes was significantly lower than that in normal controls(P < 0.05 or P< 0.01). The EDD in patients of both the treatment group and control group was strikingly improved after the treatment (P < 0.01). Moreover, the EDD after the treatment in patients of the treatment group was significantly higher than that in patients of the control group (P < 0.05). ConclusionVitamin C was shown to apparently improve the vascular endothelial function in patients with Type Ⅱ diabetes.