中西结合治疗足细胞病变73例临床观察及体会  

Clinical Observation and Experience of Chinese and Western Medicine in the Treatment of Podocyte Lesions in 73 Cases

作　　者：朱俊[1] 周恩超[1] 

机构地区：[1]南京中医药大学,210046

出　　处：《中国卫生标准管理》2016年第4期139-141,共3页China Health Standard Management

摘　　要：目的探讨中西医结合治疗足细胞病变的治疗方案及疗效。方法经肾穿刺病理确诊73例足细胞病变患者均给予西医基础治疗(糖皮质激素+环孢素+ACEI/ARB)以及中医辨证论治,观察治疗前后临床效果。结果总有效率88%;治疗后4周、8周、12周尿蛋白定量较治疗前降低,血浆白蛋白升高(P<0.01)。结论中西医结合治疗能减少足细胞病变患者的尿蛋白量、提高血浆白蛋白。Objective To investigate the treatment plan and efficiency of the combination of traditional Chinese and western medicine in the treatment of podocyte lesion. Methods Seventy-three patients with podocyte lesion diagnosed by renal biopsy pathology were treated with routine western medical therapy（glucocorticoid hormone ＋ ciclosporin ＋ACEI/ARB） and TCM treatment based on syndrome differentiation, and preoperative and postoperative clinical effects were observed. Results Total efficiency was 88%. Urine protein quantitation deceased while plasma albumin increased at the 4th,8th and 12 th week postoperatively as compared with preoperation（P 0.01）. Conclusion Combined treatment of traditional Chinese and western medicine can reduce urinary protein and increase plasma albumin in patients with podocyte lesion.

关 键 词：中西医结合 足细胞病 尿蛋白 

分 类 号：R692[医药卫生—泌尿科学]