玉肾露合五皮饮加减治疗脾肾两虚型肾性水肿临床观察

发布时间：2018-04-06 06:29

  本文选题：玉肾露　切入点：五皮饮　出处：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:观察玉肾露合五皮饮加减治疗脾肾两虚型肾性水肿的临床疗效,为肾性水肿的中医辨证治疗提供参考。资料与方法:将就诊于辽宁中医药大学附属一院肾内科门诊,符合本次实验纳入标准、排除标准、剔除标准的60例患者随机分为两组,两组分别在一般治疗的基础上(包括限盐限水,注意休息,调畅情志,管控血压等),其中一组予玉肾露合五皮饮加减方100ml日三次餐后口服,记为治疗组,另一组予肾炎消肿片5片日三次餐后口服,记为对照组,治疗疗程为4周。记录整理治疗前后相关指标,使用Spss17.0统计软件对数据进行分析。结果:1、在体重、尿量方面:两组治疗前后组内比较,均具有差异性(p0.05);两组治疗前后组间比较,均不具有统计学意义(p0.05)。2、在减少尿蛋白方面:尿蛋白定性统计结果显示,两组治疗后组间比较,具有差异性(p0.05);24小时尿蛋白定量统计结果显示,两组治疗前后组内比较,均具有差异性(p0.05);两组治疗后组间比较,具有差异性(p0.05)。尿蛋白疗效分析,治疗组临床控制5例、显效9例、有效11例、无效5例、总有效率83.33%,对照组临床控制3例、显效2例、有效12例、无效13例、总有效率56.67%,两组疗效比较,具有差异性(p0.05)。3、水肿疗效分析:治疗组临床控制5例、显效10例、有效10例、无效5例、总有效率83.33%,对照组临床控制3例、显效5例、有效13例、无效9例、总有效率70%,两组疗效比较,不具有差异性(p0.05)。4、中医证候疗效分析:治疗组临床控制6例、显效11例、有效9例、无效4例、总有效率86.67%,对照组临床控制2例、显效3例、有效11例、无效14例、总有效率53.33%,两组疗效比较,具有差异性(p0.05)。结论:1、玉肾露合五皮饮加减方和肾炎消肿片对脾肾两虚型肾性水肿患者的治疗是有效的,均能够能够降低体重、增加24小时尿量、改善水肿程度、减少尿蛋白流失、改善中医证候。2、玉肾露合五皮饮加减方和肾炎消肿片对脾肾两虚型肾性水肿的治疗,在降低体重、增加24小时尿量、改善水肿程度方面疗效相当。3、玉肾露合五皮饮加减方对脾肾两虚型肾性水肿的治疗,在减少尿蛋白流失、改善中医证候方面优于肾炎消肿片。
[Abstract]:Objective: To observe the clinical effect of jade Shenlu five PI Decoction in treatment of spleen and kidney deficiency type two renal edema, provide a reference for TCM treatment of renal edema. Materials and methods: the clinic in the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Department of nephrology outpatient clinic, with the inclusion criteria, exclusion criteria, 60 patients were randomly divided out the standard into two groups, two groups were based on the general treatment (including the salt water restrictions, pay attention to rest, regulating emotions, control blood pressure), one group to jade Shenlu five PI Decoction 100ml three times a day after meal orally, as treatment group, another group with nephritis swelling 5 tablets three times a day after meal orally, as control group, the treatment lasted for 4 weeks. Records before and after the treatment, the relevant indicators, the use of Spss17.0 statistical software for data analysis. Results: 1, the body weight, urine volume, were compared within the two groups before and after treatment, there was significant difference (p0.05);涓ょ粍娌荤枟鍓嶅悗缁勯棿姣旇緝,鍧囦笉鍏锋湁缁熻�″�︽剰涔，

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