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朱闢疆.中西医结合治疗肾病综合征60例远期疗效观察[J].中国中西医结合杂志,1986,(4):205-207,194
中西医结合治疗肾病综合征60例远期疗效观察
Long-Term Effect of 60.Cases of Nephrotic Syndrome Treated with TCM-WM
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DOI:
中文关键词:  肾病综合征  中西医结合治疗  巩固治疗  远期疗效观察  完全缓解率  中药  免疫抑制剂  蛋白尿  减少复发  二阶段
英文关键词:
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作者单位
朱闢疆 江苏省丹徒县中西医结合肾病医院 
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中文摘要:
      本文对先以西药为主、中药为辅,控制临床症状,继以中药为主、巩固治疗的"二阶段"中西医结合方案治疗完全缓解的60例肾病综合征进行了10~15年长期随访观察。10年完全缓解率76.67%。作者认为,该方案对肾病综合征有较高的远期疗效。本文还对影响远期疗效的因素作了分析。
英文摘要:
      A long-term follow-up for 10~15 years of 60 cases of nephrotic syndrome with complete remission by the treatment of TCM-WM was carried out.The first stage was active-treating phase which comprises mainly the combined application of prednisone and other immunosuppresant,supplemented with"treating the patient according to syndrome differentiation"of TCM,the treating course lasted for 3~4 months;the second stage was consolidating phase which mainly used"replenishing the kidney and invigorating the spleen"and"reinforcing the Qi and promoting the blood",one year for a course.The result of the follow-up showed that the rate of complete remission within 10 years is 76.67% by the use of the"two stage programme".14 cases relapsed,and 10 of them won complete remission after re-treatment.The author assumed that the merit of this programme was to use mainly the WM to control the clinical symptom and dissipate the proteinuria and edema for the first step,followed then by using TCM prescriptions to promote the recovery of nephrosis.On the other hand,"replenishing the kidney and reinforcing the Qi"can regulate the immune function and redress the immunologic disturbance of nephrotic syndrome,and reduce the relapse.Therefore this"two stage programme"can not only relieve the clinical symptom in a short period of time,but also lessen the relapses and enhance the long-term efficacy.
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