临床医学论文益肾健脾清利活血法治疗慢性肾小球肾炎早中期肾衰竭的临床观察

《临床医学论文益肾健脾清利活血法治疗慢性肾小球肾炎早中期肾衰竭的临床观察》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、临床医学论文•益肾健脾清利活血法治疗慢性肾小球肾炎早中期肾衰竭的临床观察【摘要】目的观察益肾健脾清利活血法治疗慢性肾小球肾炎早中期肾衰竭的临床疗效。方法选择符合入选标准的慢性肾小球肾炎早中期肾哀竭患者35例，随机分为2组。对照组15例予保肾片4片，每日3次口服；百令胶囊或金水宝4片，每日3次口服。治疗组20例在对照组基础上予益肾健脾、清利活血中药汤剂，每日1剂，水煎分2〜3次口服。2组均予基础治疗，3个月为1个疗程，1个疗程后统计疗效。每2周测定尿蛋白1次，观察血肌肝(C0、临床症状积分的变化情况。结果治疗组总有效率75.0%，对照组总有效率6

2、6.7%，2组比较差异无统计学意义(P〉0・05)；治疗组治疗后症状积分减少，与治疗前比较差异有统计学意义(P<0.01)，与对照组治疗后比较差异有统计学意义(P<0.01):治疗组尿蛋白冇下降趋势，与治疗前比较差异有统计学意义(P<0.05):治疗组治疗后Ci•降低，与治疗前比较差异有统计学意义(P<0.05)，与对照组治疗后比较差异有统计学意义(P<0.05)。结论益肾健脾清利活血法治疗慢性肾小球肾炎早中期肾衰竭可稳定肾功能，延缓肾功能恶化的速度。【关键词】慢性病肾功能衰竭肾小球肾炎辨证论治Clinicalobservationonthet

3、herapeuticeffectofYishenjianpiqinglihuoxuedecoctiononrenalfailureatearlyandmiddlestagecausedbyglomerularnephritis[Abstract]ObjectiveToobservethetherapeuticeffectofYishenjianpiqinglihuoxuedecoctiononrenalfailureatearlyandmiddlestagecausedbyglomerularnephritis.Methods35patient

4、swererandomlydividedintotwogroups.15patientsincontrolgroupweretreatedbyBaoshentablets4tabletsonce,3timesaday,withBailingcapsuleorJinshuibaotablets4pillsonce,3timesaday；20patientsintreatmentgroup,onthebasisofcontrolgroup,weretreatedbyYishenjianpiqinglihuoxuedecoction,onedosea

5、day,decoctedinwaterperos(2〜3times),withatreatmentcourseof3months・Thetherapeuticeffectswereevaluatedafteronetreatmentcourseforbothgroups.ResultsThetotaleffectiveratesintreatmentgroupandcontrolgroupwere75.0%and66.7%respectively'therewasnosignificantdifferencebetweentwogroups(P

6、<0.05),butthescoresofsymptomsintreatmentgroupsweresignificantlydecreasedafterthetreatment,ascomparedwiththosebeforethetreatment(P<0.01),andsodidwiththoseincontrolgroupaftertreatment(P<0.01).Therewasasignificantdifferenceinthedecreaseofurinaryproteinintreatmentgroup,ascompare

7、dwiththatbeforetreatment(P<0・05)・AftertreatmentCrwasobviouslyreducedintreatmentgroup,ascomparedwiththatbeforetreatment(P<0.05),andsodidwiththatincontrolgroupaftertreatment(P<0・05)・ConclusionYishenjianpiqinglihuoxuedccoctioniseffectiveintreatingrenalfailureatearlyandmiddlesta

8、gecausedbyglomerularnephritis,whichcanimprovekidneyfunctionanddelaythedeter