从痰瘀论治慢性肾功能不全的临床研究

作者	单位
戴芹	上海市浦东新区浦南医院肾内科
王怡	上海市中医药大学附属岳阳医院肾内科
曲晓璐	上海市浦东新区浦南医院肾内科

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中文摘要:

目的通过观察温肾化痰方治疗早中期慢性肾功能不全的疗效,探讨从痰瘀论治本病的临床有效性。方法选择60例早中期慢性肾功能不全的患者,随机分为治疗组和对照组。两组患者在接受一般及对症治疗的同时,治疗组加用温肾化痰方加减治疗,2个月为1个疗程,共观察3个疗程。观察两组治疗2个月、6个月的总有效率、中医症状积分、血肌酐及血尿素氮变化。结果治疗组治疗2个月及6个月的总有效率分别为68.8%、75.0%,对照组分别为42.9%、35.7%,两组总有效率比较差异有显著性(P<0.05)。中医症状的改善随着用药时间的增加其疗效更好,两组比较差异有显著性(P<0.01)。治疗组治疗2、6个月血肌酐及尿素氮值有下降趋势,与对照组同期比较,差异均有显著性(P<0.05,P<0.01)。结论温肾化痰方可提高早中期慢性肾功能不全的疗效,提示从痰瘀论治早中期慢性肾功能不全确有一定的临床疗效。

英文摘要:

Objective To observe the therapeutic effect of Wenshen Huatan Recipe (WHR) on patients with early or middle stage chronic renal insufficiency (CRI) and investigate the clinical validity of applying sputum and blood stasis theory in treating CRI. Methods Sixty CRI patients were selected and randomly assigned to the treated group (n=32) and the control group (n=28), all received conventional and symptomatic treatment, but those in the treated group were given WHR additionally. Two months were taken as one treatment course and the study lasted for 3 treatment courses. Total effective rate was assessed at the end of the 2nd and 6th month, changes of clinical symptom scores of TCM, and levels of blood urea nitrogen (BUN) and serum creatinine (SCr) in the two groups were observed as well. ResultsThe total effective rate of the 2nd and 6th month was 68.8% and 75.0% respectively in the treated group and 42.9% and 35.7% in the control group respectively, the difference between the two groups was significant (P<0.05). Symptoms were improving along with the increasing medication time, and the improvement between the two groups was significant (P<0.01). Levels of SCr and BUN were significantly lowered in the treated group after 2-month and 6-month treatment (P<0.05, P<0.01). ConclusionWHR can significantly improve the clinical effect of treatment on CRI during early-middle stage, suggesting that CRI could be treated based on sputum and blood stasis theory with definite clinical efficacy.

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