中西医结合治疗慢性肾炎142例临床观察

作者	单位
周芝彬	湖北省大悟县人民医院
胡兴农	湖北省大悟县人民医院
魏有金	湖北省大悟县人民医院
王俊	湖北省大悟县人民医院
张晓翠	湖北省大悟县人民医院
付杏玲	湖北省大悟县人民医院

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中文摘要:

中西医结合治疗慢性肾炎142例,近期有效率为92.3%,为观察此疗法的远期疗效,对132例患者进行了随访,其中76例处于完全缓解中,恢复了正常工作,占随访人数的57.6%,本文对治疗方法进行了介绍和讨论。

英文摘要:

This paper reports the results of observation on 142 cases of chronic glomerulonephritis treated with TCM-WM in the hospital from Jan.1971 to Dec.1983.108 patients were male and 34 female,28 were under 10 years of age,17 patients were 10～17,84 cases were 18～40,while 13 patients were over 41 years old.The short-term effective rate was 92%.A follow-up of 132 patients in Apr.～Jun.1984 for investigation on long-term efficacy of this therapy,76 cases(57.6%)have sustained remission and resumed their work. Three different therapeutic programme groups were worked out according to the disease condition,the course of disease and the previous treatment.The 13 patients belonged to the TCM group,23 cases with TCM and steroid hormone,and 106 cases with TCM,corticosteroid and cyclophosphamide or nitrogen mustard.An integrated"syndrome and disease differentiation"method was used in TCM therapy,mainly "invigorating the spleen and nourishing the kidney"and"promoting the blood circulation and diuresis".On this basis 30 gm Lysimachia clethroides was used daily.Treating course of western drugs varied from 1.5 to 4 months;that of TCM:3 months～1 year,the longest one was over 3 years.For 15 cases of refractory nephrotic type of chronic glomerulonephritis with hypofunction of cellular immunity phytohemagglutinin (PHA)was added.

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