温肾降浊法联合西药治疗慢性肾衰竭临床研究及对肾功能的影响
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Clinical Study of Blood- Activating and Turbid- Downbearing Method Combined with Western Medicine for Chronic Renal Failure and Its Effect on Kidney Function
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    摘要:

    目的:观察温肾降浊法联合西药治疗慢性肾衰竭的临床疗效,并分析其对血肌酐(SCr)、尿素氮(BUN) 及血尿酸(UA) 水平的影响。方法:将64 例慢性肾衰竭患者,随机平均分为2 组。对照组给予单纯的西药治疗,研究组在常规对症西 药治疗的基础上,辅以温肾降浊法中药治疗。连续治疗6 个疗程,对比2 组的治疗效果、病症改善情况及肾功能水平。结果:研究组总有效率为90.63%,对照组总有效率为50.00%,2 组的治疗总有效率比较,差异有统计学意义(χ2=5.67,P<0.05)。经治疗,研究组腰膝酸软、倦怠乏力、恶心呕吐、畏寒肢冷症状程度均明显减轻(P<0.05);而对照组除倦怠乏力症状明显减轻(P<0.05),其他主要症状未有明显变化(P>0.05)。2 组比较,研究组的症状改善情况均优于对照组(P<0.05)。经治疗,研究组BUN、SCr、UA 水平降低(P<0.05);对照组仅BUN 水平得以明显降低(P<0.05),而SCr、UA 水平无显著变化(P>0.05)。2 组治疗后比较,研究组BUN、SCr、UA 水平控制情况优于对照组(t=4.27、4.86、4.12,P<0.05)。结论:温肾降浊法联合西药治疗慢性肾衰竭临床疗效显著,且能明显改善患者的肾功能水平,有效延缓患者病情的进展。

    Abstract:

    Abstract:Objective: To observe the clinical effect of blood-activating and turbid-downbearing method combined with western medicine for chronic renal failure,and to analyze its effect on levels of serum creatinine(SCr),blood urea nitrogen (BUN) and uric acid(UA). Methods:A total of 64 cases of patients with chronic renal failure were randomly divided into two equal groups. The control group was given simple western medicine treatment; based on routine symptomatic western medicine treatment, the study group was additionally assisted with Chinese medicine of blood- activating and turbid downbearing method. Both groups were treated for six courses. The curative effect,the improvement of diseases and the levels of kidney function in the two groups were compared. Results: The total effective rate was 90.63% in the study group and 50.00% in the control group, the difference being significant(χ 2=5.67, P<0.05). After treatment, the symptoms of soreness and weakness of waist and knees,fatigue,nausea and vomiting as well as chilliness and cold limbs in the study group were significantly relieved(P<0.05);in the control group,the symptom of fatigue was significantly relieved,and there was no significant difference being found in the other main symptoms(P>0.05). The improvement of symptoms in the study group was better than that in the control group(P<0.05). After treatment,the levels of BUN,SCr and UA in the study group were decreased(P<0.05);in the control group,only the BUN level was significantly decreased(P<0.05),and there was no significant difference being found in the levels of SCr and UA(P>0.05). After treatment, the control situation of levels of BUN,SCr and UA in the study group was better than that in the control group(t=4.27,4.86,4.12,P<0.05). Conclusion: Blood- activating and turbid- downbearing method combined with western medicine for chronic renal failure has significant clinical effect,which can significantly improve levels of kidney function and effectively delay the progress of the disease.

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李苞芳,刘茜.温肾降浊法联合西药治疗慢性肾衰竭临床研究及对肾功能的影响[J].新中医,2021,53(9):40-42

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  • 在线发布日期: 2021-05-12
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