健脾益肾降浊法治疗糖尿病肾病的临床疗效观察.docVIP

· 703 · · 中 医 · 中 西 医 结 合 研 究 · 健脾益肾降浊法治疗糖尿病肾病的临床疗效观察 张兆和，林祖辉，张征宇 【摘要】 目 的 观察健脾益肾降浊法治疗糖尿病肾病的临床疗效及其对肾功能的影响。方法 选取2011年7月 —2012年11月青田县中医医院、丽水市人民医院门诊和收治住院的糖尿病肾病患者66例，随机分为两组：对照组33 例，患者给予控制血糖、血压、调节血脂等常规治疗；观察组33例，在对照组治疗的基础上采用健脾益肾降浊法对患 者进行辨证施治。2周为1个疗程，持续治疗3个疗程。治疗后评价两组患者的临床疗效及肾功能。 结果 治疗后，对 照组显效6例，有效12例，无效15例；观察组显效10例，有效16例，无效7例，观察组的疗效优于对照组 (u= 1.98,P=0.048)。 治疗后观察组的尿蛋白排泄量〔(0.60±0.18) g/24 h〕、血肌酐水平〔(82±10)μmol/L〕 均低 于对照组〔(1.00±0.25) g/24h 和(89±11)μmol/L〕(P0.05)。 结论 健脾益肾降浊法能够提高糖尿病肾病患 者的临床疗效，并改善肾功能。 【关键词】 糖尿病肾病；健脾益肾；中西医结合疗法；治疗结果 【中图分类号】 R587.24 【文献标识码】 A doi:10.3969/j.issn.1007-9572.2014.06.028 张兆和，林祖辉，张征宇.健脾益肾降浊法治疗糖尿病肾病的临床疗效观察 [J]. 中国全科医学，2014,17 (6):703-705.[] Th erapeutic Eflect of Invigorating Spleen and Kidney, Descending Turbidity in Treating Diabetic Nephropathy ZHANG Zhao-he, LIN Zu -hui, ZHANG Zheng-yu. Traditional Chinese Medicine Hospital of Qingtian County,Lishui 323900,China 【Abstract] Objective To observe the therapeutic effect of invigorating spleen and kidney, descending turbidity in treating diabetic nephropathy (DN)and the impact of therapy on renal function. Methods A total of 66 in - patients and out - patients with DN in Traditional Chinese Medicine Hospital of Qingtian County and Peoples Hospital of Lishui City from July 2011 to November 2012, were divided into two groups randomly:33 cases in control group were given conventional treatment,such as blood sugar and blood pressure control, blood lipid regulation; 33 cases in observation group were given dialectical therapy about invigorating spleen and kidney, descending turbidity on conventional treatment basis. A treatment course lasted for two weeks, the whole treatment lasted for three treatment courses. After treatment, therapeutic effect and renal funetion were evaluated among two groups of patients. Results In control group, the numbers of remarkable effect, effect and inefficacy after treatment were 6, 12 and 15 cases respectively. In observation group,the numbers of remarkable