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作 者:沈烨渠[1] 廖顺花[1] 孙悦[2] 蒋宇锋 何立群[2,3]
机构地区:[1]中国人民解放军第一八八医院,广东潮州521000 [2]上海中医药大学附属曙光医院,上海210203 [3]上海市中医临床重点实验室,上海201203
出 处:《中国实验方剂学杂志》2014年第10期205-208,共4页Chinese Journal of Experimental Traditional Medical Formulae
基 金:国家自然科学基金项目(81173219);科技部中医药行业科研专项项目(201007005);高等学校博士学科点专项科研基金项目(20093107110006);上海市科委创新行动计划项目(11DZ1973100);上海市高校创新团队建设项目
摘 要:目的:探讨黄葵胶囊对湿热型慢性肾炎慢性肾脏病(CKD)Ⅲ期患者的临床疗效。方法:按就诊顺序随机分为两组,最终纳入统计的治疗组37例,对照组36例,对照组针对危险因素等进行一般治疗与营养治疗,治疗组在对照组治疗的基础上加用黄葵胶囊(2.5 g/次,3次/d,饭后30 min口服)治疗,检测治疗前后24 h尿蛋白定量、血肌酐(SCr)、血尿素氮(BUN)、肾小球滤过率(GFR)。结果:黄葵胶囊治疗组能明显改善慢性肾炎CKD3期湿热型患者的临床症状(P<0.05),降低SCr,24 h尿蛋白定量(P<0.05),使GFR有显著的增加(P<0.01),两组治疗后比较统计学有显著性差异。结论:黄葵胶囊能减少蛋白尿,改善肾功能,尤其能明显升高GFR,具有稳定GFR作用。Objective: To investigate the curative effects of Huangkui capsule on dampness-heat of chronic kidney disease (CKD) 3 phase. Method: The patients were randomly divided into conventional western medicine treated group (control group, 36 cases) and conventional western medicine plus Huangkui capsule treated group (treatment group,37 cases).The serum-creatinine (SCr),blood urea nitrogen (BUN),proteinuria (Pro) and glomerular filtration rate (GFR)were examined in 37 cases, compared with conventional medicine treated group with western medicine. Result: Combined treatment of Chinese and western medicine can improve symptoms and decrease SCr,proteinuria,and increase the level of GFR in the patients with dampness-heat of CKD 3 period patients. Conclusion: Huangkui capsule combined with conventional western medicine can reduce proteinuria and improve renal function, can effectively increased significantly the GFR in the patients with CKD 3 period of chronic nephritis.
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