百令胶囊联合阿魏酸哌嗪治疗慢性肾小球肾炎临床研究
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Clinical Effect of Bailing Capsules Combined with Piperazine Ferulate Tablets for Chronic Glomerulonephritis and Its Effect on Kidney Function
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    摘要:

    目的:观察百令胶囊联合阿魏酸哌嗪治疗慢性肾小球肾炎的临床疗效。方法:将72 例慢性肾小球肾炎患者按随机数字表法分为治疗组与对照组各36 例。对照组采用阿魏酸哌嗪片口服,治疗组在对照组的基础上联合百令胶囊治疗。连续治疗1 个月,比较2 组中医证候积分、血清炎症因子[白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)] 和肾功能(血清尿素氮、血肌酐、24 h 尿蛋白定量、1 h 尿红细胞排泄率) 水平,比较2 组疗效及不良反应情况。结果: 治疗组总有效率为97.22%,对照组为80.56%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组血清IL-2、IL-6、TNF-α 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组IL-2 水平均较治疗前升高(P<0.05),IL-6、TNF-α 水平均较治疗前降低(P<0.05),且治疗组上述指标改善较对照组更显著(P<0.05)。治疗前,2 组中医证候积分比较,差异无统计学意义(P>0.05);治疗后,2 组中医证候积分均较治疗前降低(P<0.05),且治疗组中医证候积分低于对照组(P<0.05)。治疗前,2 组血清尿素氮、血肌酐、24 h 尿蛋白定量、1 h 尿红细胞排泄率水平比较,差异无统计学意义(P>0.05);治疗后,2 组上述肾功能指标均较治疗前降低(P<0.05),且治疗组各项指标均低于对照组(P<0.05)。治疗后,治疗组不良反应发生率为8.33%,对照组为11.11%,2 组比较,差异无统计学意义(P>0.05)。结论:百令胶囊联合阿魏酸哌嗪治疗慢性肾小球肾炎临床疗效显著,可有效降低机体炎症反应,缓解临床症状,改善肾功能,且安全性较好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Bailing capsulescombined with piperazine ferulate tablets for chronic glomerulonephritis. Methods: A total of 72 cases of patients with chronic glomerulonephritis were divided into the treatment group and the control group according to the random number table method,with 36 cases in each group. The control group was given the oral administration of piperazine ferulate tablets,and the treatment group was additionally treated with Bailing capsules based on the treatment of the control group. Both groups were treated for one month. Chinese medicine syndrome scores,inflammatory factors including interleukin-2(IL-2),interleukin-6(IL-6) and tumor necrosis factor-α (TNF-α) in serum,and the levels of kidney function including serum urea nitrogen,serum creatinine,24- hour urine protein excretion and 1- hour excretion rate of urine red blood cells in the two groups were compared; curative effects and adverse reactions in the two groups were compared. Results: The total effective rate was 97.22% in the treatment group and 80.56% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of IL- 2, IL- 6 and TNF- α in serum between the two groups(P>0.05). After treatment, the levels of IL- 2 in the two groups were increased when compared with those before treatment(P<0.05), and the levels of IL- 6 and TNF- α were decreased(P<0.05); the improvement of above indexes in the treatment group was more significant than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of Chinese medicine syndrome scores between the two groups(P>0.05). After treatment, Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05), and the score in the treatment group was lower than that in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of serum urea nitrogen,serum creatinine,24-hour urine protein excretion and 1-hour excretion rate of urine red blood cells between the two groups(P>0.05). After treatment,the above kidney function indexes in the two groups were decreased when compared with those before treatment(P<0.05),and the indexes in the treatment group were lower than those in the control group(P< 0.05). After treatment,the incidence of adverse reactions was 11.11% in the control group and 8.33% in the treatment group, there being no significance in the difference(P>0.05). Conclusion: The therapy of Bailing capsules combined with piperazine ferulate tablets for chronic glomerulonephritis has a significant clinical effect,and can effectively reduce systemic inflammatory responses,relieve clinical symptoms and improve kidney function with good safety.

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权利珍,王峰,李芬,姚泉福.百令胶囊联合阿魏酸哌嗪治疗慢性肾小球肾炎临床研究[J].新中医,2022,54(16):78-82

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  • 在线发布日期: 2022-08-28
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