摘要
目的:观察中药灌肠辨证治疗痛风性肾病的疗效。方法:将40例痛风性肾病患者随机分为治疗组和对照组两组。两组患者均采用一般治疗,并积极应用对症治疗以控制原发病,治疗组在此基础上联合中药汤剂进行灌肠治疗。观察比较两组患者治疗前后的尿素(BERA)、肌酐(CREA)、尿酸(UA)、24h尿蛋白定量(TP)、内生肌酐清除率(Ccr)等指标。结果:治疗后两组患者各项指标较治疗前均明显下降,组内治疗前后比较差异有统计学意义(P<0.05),治疗后治疗组各指标优于对照组,组间比较差异有统计学意义(P<0.05)。经过治疗,治疗组患者中医治疗总有效率为90.9%,优于对照组的60.1%,差异具有统计学意义(P<0.05)。治疗组患者临床疗效总有效率为86.4%,优于对照组的55.6%,差异具有统计学意义(P<0.05)。结论:中药辨证灌肠疗法治疗痛风性肾病疗效肯定,值得临床推广应用。
Objective:To observe the curative effect of TCM enema decoction on gouty nephropathy.Methods:40patients with gouty nephropathy were randomly divided into treatment group and control group.Two groups of patients were treated with general treatment,and active application of symptomatic treatment to control the primary disease,the treatment group on the basis of Chinese medicine decoction for enema treatment.Urea(BERA),creatinine(CREA),uric acid(UA),24 hurinary protein(TP),and creatinine clearance(Ccr)were measured before and after treatment in both groups.Results:After treatment,the two groups of patients before and after treatment were significantly lower than the group before and after treatment,the difference was statistically significant(P<0.05),after treatment,the treatment group than the control group,the difference between the statistics(P<0.05).After treatment,the total effective rate of the treatment group was 90.9%,60.1% better than the control group,the difference was statistically significant(P<0.05).After treatment,the total effective rate of the treatment group was 86.4%,55.6%better than the control group,the difference was statistically significant(P<0.05).Conclusion:Traditional Chinese medicine syndrome enema therapy is effective in the treatment of gouty nephropathy,which is worthy of clinical application.
出处
《亚太传统医药》
2017年第1期139-141,共3页
Asia-Pacific Traditional Medicine
关键词
痛风性肾病
中药灌肠
辨证治疗
临床研究
Gouty Nephropathy
Traditional Chinese Medicine Enema
Dialectical Treatment
Clinical Research
