糖尿病肾病的社区中西医辨证治疗

发布时间：2018-05-02 22:18

本文选题：糖尿病 + 肾病　；参考：《时珍国医国药》2011年04期

【摘要】：目的观察中医辨证治疗联合西药对糖尿病肾病的疗效。方法糖尿病肾病患者76例随机分为对照组和治疗组。对照组每日服用格列喹酮60mg,福辛普利钠10 mg,治疗组在服用对照组所服用西药的基础上根据中医辨证服用中药方剂,疗程为8周。两组患者治疗前及治疗后进行临床体征观察,并测定血糖、血脂和肾功能指标。结果治疗组总有效率为86.8%,显著高于对照组60.5%。治疗后对照组和治疗组餐前血糖、餐后2 h血糖、TG、TC、LDL-C、尿素氮、血肌酐和尿蛋白排泄率与治疗前相比显著降低,HDL-C显著升高(P0.05)。治疗后治疗组空腹血糖、餐后2 h血糖、TC、LDL-C、尿素氮、血肌酐和尿蛋白排泄率显著低于对照组(P0.05或P0.01),HLD-C显著高于对照组(P0.05或P0.01)。结论在格列喹酮片与福辛普利钠片联合治疗的同时进行中医辨证治疗对糖尿病肾病的具有较好疗效。
[Abstract]:Objective to observe the therapeutic effect of TCM combined with western medicine on diabetic nephropathy. Methods 76 patients with diabetic nephropathy were randomly divided into control group and treatment group. The control group was given Glitaquinone 60 mg daily and fosinopril 10 mg. The treatment group was treated with traditional Chinese medicine on the basis of the western medicine taken in the control group. The course of treatment was 8 weeks. The clinical signs, blood glucose, blood lipid and renal function were observed before and after treatment. Results the total effective rate of the treatment group was 86.8%, which was significantly higher than that of the control group (60.5%). After treatment, the preprandial blood glucose, 2 h postprandial blood glucose, blood urea nitrogen, serum creatinine and urinary protein excretion rate in the control group and the treatment group were significantly decreased compared with those before treatment, and HDL-C increased significantly (P 0.05). After treatment, fasting blood glucose, 2 h postprandial blood glucose and TCLDL-C, urea nitrogen, serum creatinine and urinary protein excretion rate in the treatment group were significantly lower than those in the control group (P 0.05 or P 0.01) and HLD-C were significantly higher than those in the control group (P 0.05 or P 0.01). Conclusion the combination of gliqualone tablets and fosinopril sodium tablets is effective in treating diabetic nephropathy.
【作者单位】：上海市浦东新区上钢社区卫生服务中心;
【分类号】：R587.2;R692

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