中西医结合治疗蛋白尿型隐匿性肾小球肾炎40例临床观察

发布时间：2018-05-28 05:10

本文选题：肾小球肾炎 + 中西医结合疗法　；参考：《新中医》2010年03期

【摘要】：目的:观察中西医结合治疗蛋白尿型隐匿性肾小球肾炎的临床疗效。方法:将75例患者随机分为治疗组和对照组,对照组采用单纯西药治疗,治疗组采用中西医结合治疗。观察2组临床疗效,比较临床类型、中医分型与疗效的关系。结果:临床疗效总有效率治疗组为85.0%,对照组为25.7%,2组比较,差异有非常显著性意义(P0.01),提示治疗组临床疗效明显优于对照组。治疗组临床疗效总有效率单纯性蛋白尿型为93.3%,蛋白尿兼血尿型为60.0%,2种临床类型比较,差异有显著性意义(P0.05),提示中西医结合治疗单纯性蛋白尿型隐匿性肾小球肾炎的疗效明显优于蛋白尿兼血尿型。治疗组脾肾阳虚型和气阴两虚型的总有效率均较肝肾阴虚型高,3种证型间比较,差异无显著性意义(P0.05)。提示中医辨证分型与疗效无相关性。结论:中西医结合治疗蛋白尿型隐匿性肾小球肾炎确能提高疗效,稳定肾功能,优于单纯西医治疗。
[Abstract]:Objective: to observe the clinical effect of integrated traditional Chinese and western medicine in the treatment of proteinuria occult glomerulonephritis. Methods: 75 patients were randomly divided into treatment group and control group. Observe the clinical curative effect, compare the clinical type, the relationship between TCM classification and curative effect. Results: the total effective rate was 85.0 in the treatment group and 25.7in the control group. The difference was significant (P 0.01), suggesting that the clinical efficacy of the treatment group was significantly better than that of the control group. The total effective rate of the treatment group was 93.3in the simple proteinuria type, 60.0in the proteinuria and hematuria type. The difference was significant (P 0.05), which suggested that the therapeutic effect of integrated traditional Chinese and western medicine on simple proteinuria occult glomerulonephritis was better than that of proteinuria combined with hematuria. In the treatment group, the total effective rate of spleen and kidney yang deficiency type and qi yin deficiency type was higher than that of liver and kidney yin deficiency type, and there was no significant difference among the three syndrome types (P 0.05). The results suggest that there is no correlation between TCM syndrome differentiation and curative effect. Conclusion: the treatment of occult glomerulonephritis with proteinuria can improve the curative effect, stabilize renal function, and is superior to western medicine alone in the treatment of proteinuria occult glomerulonephritis.
【作者单位】：毕节地区中医院;
【分类号】：R692.31

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