益气健脾补肾止血法治疗隐匿性肾炎血尿的临床观察

发布时间：2018-05-27 15:19

本文选题：玉肾露 + 隐匿性肾炎　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:观察以加减玉肾露为主的益气健脾补肾止血法治疗隐匿性肾炎血尿(脾肾气虚证)的临床疗效。材料与方法:采用随机对照方法,将60例隐匿性肾炎脾肾气虚型血尿患者随机分为治疗组30例,对照组30例。治疗组予以加减玉肾露为主的中药汤剂口服。对照组予至灵胶囊联合肾复康胶囊口服。疗程为8周。治疗期间第2、4、6、8周均对两组患者的主要症状、体征及尿中红细胞计数等信息进行采集,治疗前后各记录一次肝肾功能。结果:1.在中医症候方面,治疗组临床控制3例,显效7例,有效17例,无效3例,总有效率90%;对照组临床控制0例,显效3例,有效21例,无效6例,总有效率80%。治疗组疗效优于对照组(P0.05)。2.中医单项症状方面,治疗组在腰脊酸痛、尿频疗效优于对照组(P0.05),两组治疗疲乏无力、便溏、浮肿、面色无华疗效相当(P0.05)。3.在西医疗效方面,治疗组临床控制9例,显效16例,有效2例,无效3例,总有效率90%;对照组临床控制2例,显效13例,有效7例,无效8例,总有效率73.3%。治疗组疗效优于对照组(P0.05)。结论:以加减玉肾露为主的补肾健脾益气止血法可以明显改善隐匿性肾炎血尿(脾肾气虚)患者的临床症状,减少尿红细胞计数,疗效确切,且安全可靠,值得推广。
[Abstract]:Objective: to observe the clinical effect of tonifying spleen and tonifying kidney and hemostatic therapy of occult glomerulonephritis (spleen and kidney qi deficiency syndrome). Materials and methods: 60 patients with occult nephritis with deficiency of spleen and kidney qi were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated by oral administration of traditional Chinese medicine decoction. The control group was treated with Zhiling capsule combined with Shenfukang capsule orally. The course of treatment was 8 weeks. The main symptoms, signs and count of red blood cells in urine were collected at the 2nd week and 4th week during the treatment. The liver and kidney function were recorded once before and after treatment. The result is 1: 1. In the aspect of TCM symptoms, there were 3 cases of clinical control, 7 cases of remarkable effect, 17 cases of effective and 3 cases of ineffective in the treatment group, and 90 cases of total effective rate in the control group, while in the control group, there were 0 cases of clinical control, 3 cases of remarkable effect, 21 cases of effective, 6 cases of ineffectiveness, and 80% of total effective rate. The curative effect of the treatment group was better than that of the control group. Chinese medicine single symptom aspect, the treatment group in the lumbar spinal soreness, urination frequency curative effect is superior to the control group (P0.05), the two groups treatment fatigue is weak, loose stools, the swelling, the complexion does not have the Hua curative effect to be similar to P0.05U. 3. In the treatment group, 9 cases were clinically controlled, 16 cases were effective, 2 cases were effective, 3 cases were ineffective, the total effective rate was 90%, while in the control group, there were 2 cases of clinical control, 13 cases of remarkable effect, 7 cases of effective, 8 cases of ineffectiveness, and 73.3% of total effective rate. The curative effect of the treatment group was better than that of the control group (P 0.05). Conclusion: the method of tonifying kidney and invigorating spleen and supplementing qi to stop bleeding can obviously improve the clinical symptoms of patients with occult glomerulonephritis (deficiency of spleen and kidney qi) and reduce the count of urine red blood cells. The curative effect is accurate, and the method is safe and reliable. It is worth popularizing.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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