摘要
目的:观察自拟益气养阴清利方治疗慢性肾炎蛋白尿的临床疗效。方法选取2015年10月至2017年2月收治的慢性肾炎蛋白尿患者60例,按照随机数字表法分为对照组和治疗组各30例。在常规治疗基础上,对照组口服肾炎康复片治疗,每天3次,每次5片;治疗组给予自拟益气养阴清利方治疗,用水煎服,每天1剂(400 mL),分早晚2次温服;两组均治疗3个月。比较两组患者的疗效、中医证候评分、实验室检查指标及治疗期间的不良反应发生情况。结果治疗组总有效率为87.1%(24/30),高于对照组的43.0%(13/30,P<0.05)。治疗后,治疗组的尿液红细胞数量、24 h尿蛋白定量低于对照组,且中医证候评分改善亦优于对照组(P<0.05)。结论治疗组的实验室指标和中医证候评分改善效果及疗效较好。
Objective:To observe the clinical effect of Yiqi yangyin qingli recipe in the treatment of chronic nephritis proteinuria.Methods:Sixty patients with chronic nephritis proteinuria treated from October 2015 to February 2017 were selected and according to the random number table method,divided into a control group and a treatment group with 30 cases in each group.On the basis of conventional treatment,the control group was treated with Shenyankangfu tablets,3 times a day,5 tablets each time;the treatment group was treated with self-made Yiqi yangyin qingli recipe,decocted with water,1 dose(400 mL)a day,twice in the morning and evening;both groups were treated for 3 months.The curative effect,TCM syndrome score,laboratory test indicators and adverse reactions during the treatment period were compared between the two groups.Results:The total effective rate of the treatment group was 87.1%(24/30),which was higher than that of the control group 43.0%(13/30 P<0.05).After treatment,the number of urine red blood cells and 24-hour urine protein quantitative of the treatment group were lower than those of the control group,and the improvement of TCM syndrome score of the treatment group was also better than that of the control group(P<0.05).Conclusion:The improvement effect and curative effect of laboratory indexes and TCM syndrome score of the treatment group are better.
作者
陈建萍
CHEN Jianping(Department of Traditional Chinese Medicine of Gonghui Hospital,Shanghai 200041,China)
出处
《上海医药》
CAS
2021年第20期27-29,共3页
Shanghai Medical & Pharmaceutical Journal
基金
上海市静安区卫生及健康委员会中医药三年行动计划(杏林新星JA2015-R002)。
关键词
慢性肾炎
蛋白尿
中医药治疗
益气养阴清利方
chronic nephritis
proteinuria
traditional Chinese medicine treatment
Yiqi yangyin qingli recipe
