清利化瘀汤治疗慢性肾炎蛋白尿临床观察
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R692.3

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Clinical Observation on Qingli Huayu Tang for Chronic Nephritic Proteinuria
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    摘要:

    目的:观察清利化瘀汤治疗慢性肾炎蛋白尿的临床效果。方法:将慢性肾炎蛋白尿患者62例随机分为2组;对照组31例给予氯沙坦钾片治疗,观察组31例在对照组的基础上加用清利化瘀汤治疗,疗程均为3月;观察2组治疗前后中医症状积分、尿白蛋白、尿微量白蛋白、24 h尿蛋白定量、肾功能及胱抑素C值,评价蛋白尿临床疗效。结果:蛋白尿疗效总有效率观察组为93.54%,对照组为70.96%,2组比较,差异有统计学意义(P<0.05)。治疗后,治疗组症状积分显著下降,与治疗前及对照组治疗后比较,差异均有统计学意义(P<0.05)。对照组治疗前症状积分改善不明显(P>0.05)。治疗后,2组尿微量白蛋白、24h尿蛋白均较治疗前降低(P<0.05);且观察组上述指标改善较对照组更显著(P<0.05)。治疗后2组血肌酐、尿素氮变化不大,与治疗前比较,差异均无统计学意义(P>0.05)。对照组胱抑素C治疗前后变化不大(P>0.05);而观察组治疗后胱抑素C明显下降,与治疗前比较,差异有统计学意义(P<0.05)。结论:清利化瘀汤治疗慢性肾炎能降低尿蛋白,改善患者临床症状,改善患者早期肾功能损害,延缓肾脏病的进展。

    Abstract:

    Objective:To observe the clinical effect of Qingli Huayu tang for chronic nephritic proteinuria.Methods:Divided 62 cases of patients with chronic nephritic proteinuria into two groups randomly,31 cases in each group.The control group was given losartan potassium tablets,while the observation group was additionally given Qingli Huayu tang.The course of treatment lasted for 3 months.Observed Chinese medicine symptom scores and such indexes as urinary albumin,urinary microalbumin,24-hour urine protein quantitation,renal function and cystatin C in both groups before and after treatment,and evaluated the clinical effect.Results:The total effective rate of proteinuria was 93.54%in the observation group and 70.96%in the control group,difference being significant(P<0.05).After treatment,symptom scores in the observation group were significantly decreased,and there were significant differences being found when comparing with those before treatment and those in the control group after treatment(P<0.05).The symptom scores in the control group were not significantly improved(P>0.05).After treatment,the levels of urinary microalbumin and 24-hour urine protein quantitation in both groups were lower than those before treatment(P<0.05); the indexes above in the observation group were improved more significantly than those in the control group(P<0.05).After treatment,there was little change of serum creatinine and urea nitrogen in both groups,and there were no significant differences being found when comparing with those before treatment(P>0.05).There was little change of cystatin C in the control group before and after treatment(P>0.05);the level of cystatin C in the observation group was decreased significantly after treatment,and there was significant difference being found when comparing with that before treatment(P<0.05).Conclusion:Qingli Huayu tang can reduce nephritic proteinuria,ameliorate the clinical symptoms of patients and improve early renal function impairment,thus to delay the progression of kidney disease.

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姜益,林永强,王文又,王超超,赵润英.清利化瘀汤治疗慢性肾炎蛋白尿临床观察[J].新中医,2018,50(12):116-119

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  • 在线发布日期: 2018-12-09
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