补肾活血法治疗慢性肾盂肾炎的临床观察

作者	单位
卢玲	广西中医学院第二附属医院肾内科南宁530011
梁冰	广西中医学院第二附属医院肾内科南宁530011
赖申昌	广西中医学院第二附属医院肾内科南宁530011
马晓露	广西中医学院第二附属医院肾内科南宁530011

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中文摘要:

目的 :研究补肾活血法治疗慢性肾盂肾炎的疗效及其作用机理。方法 :用补肾活血法配合西药治疗慢性肾盂肾炎患者 4 1例并与单纯用西药治疗 30例作对照 ;追踪观察远期疗效及肾脏形态学、肾功能的变化情况。结果 :治疗组和对照组近期治愈率分别为 90 2 4 % (37/4 1例 )、86 6 7% (2 6 /30例 ) ,两组比较 ,差异无显著性 (P >0 0 5 ) ;完全治愈率分别为 70 73% (2 9/4 1例 )、30 0 0 % (9/30例 ,P <0 0 1) ,并且 3年后治疗组肾脏形态的改变及肾功能的减退情况与对照组比较差异有显著性 (P <0 0 1)。结论 :补肾活血法可提高慢性肾盂肾炎治疗的远期疗效 ,减轻或阻滞肾脏形态学的改变 ,延缓肾功能减退的进程。

英文摘要:

Objective: To Study the effect and mechanism of the treatment for reinforcing Kidney and activating blood circulation (RKAB) in treating chronic pyelonephritis. Methods: Using RKAB combined with western drugs to treat 41 patients with chronic pyelonephritis and controlled with 30 patients treated with western drugs only. Changes of kidney morphology, renal function were observed, and the long term efficacy of treatment was pursued. Results: The short term effective rate in the treated group and the control group was 90.24% (37/41) and 86.67% (26/30) respectively, with no significant difference between them (P>0 05). The long term effective rate in the two groups was 70.73% (29/41) and 30.00% (9/30) respectively with significant difference (P<0 01). Moreover, the occurrence of morphological change of kidney and renal dysfunction in the treated group was later than that in the control group (P<0 01). Conclusion: RKAB treatment could raise the long term effect in treating chronic pyelonephritis, alleviate/block the morphological change of kidney and retard the progressing of renal dysfunction.

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