About TCM treatment of refractory nephrotic syndrome in the clinical observation of 136 cases.docVIP

 PAGE \* MERGEFORMAT 9 About TCM treatment of refractory nephrotic syndrome in the clinical observation of 136 cases [Keywords:] Differential Treatment of refractory nephrotic syndrome TWP Refractory nephrotic syndrome is ineffective or by hormone therapy or repeated episodes of steroid-dependent nephrotic syndrome, is a clinical management more difficult diseases. The author of 136 cases of nephrotic syndrome were treated with Thunder Rattan polyglycoside and Differential Treatment of Chinese medicine, to achieve better results. are summarized below. 1 Clinical data 1.1 Case selection criteria Patients were 136 cases of the following conditions: ① meet diagnostic criteria nephrotic syndrome [1], ② a large number of hormone therapy after 8 weeks is not valid, ③ exclude secondary nephrotic syndrome, ④ exclude the use of other methods of treatment of cases, ⑤ can not insist on taking exclude Chinese are. 1.2 General Information 136 patients in this group are the Department of Nephrology, hospital outpatient or inpatient 1995-2006, male 74, female 62 cases, aged 8 to 63 years, mean 23.6 years, duration of 7 to 12 months. All cases were hormone therapy 6 no significant effect of months, the renal biopsy, according to WHO classification as mesangial proliferation in 41 cases, 30 cases of minimal change disease, membranous nephropathy, 15 cases of mesangial capillary glomerulonephritis in 24 cases, focal sclerosis 26 cases. 123 cases of which urea nitrogen (BUN), serum creatinine (SCr) in the normal range, BUN average (6.3 + -1.7) mmol / L, SCr average (92.3 + -23.3) μmol / L, while There were 13 cases of severe edema with mild azotemia. urine protein average (5.5 + -2.5) g/24 h. According to lt;lt;in the diagnosis and treatment of kidney disease Integrative Studiesgt;gt; [2] to TCM syndrome , in which 68 cases of spleen deficiency, spleen and kidney qi deficiency 27 cases, 12 cases of yin deficiency heat, stasis water delivery hindered in 9 case