研究中医清利湿热法为主治疗肾炎蛋白尿的临床疗效  

Study on the Clinical Efficacy of Traditional Chinese Medicine Qingli Damp Heat Method in Treating Nephritis Proteinuria

作　　者：高欣欣 GAO Xin-xin(Department of Nephrology,Heze Hospital of Traditional Chinese Medicine,Heze,Shandong Province,274000 China)

机构地区：[1]山东省菏泽市中医医院肾病科,山东菏泽274000

出　　处：《世界复合医学》2018年第3期42-44,共3页World Journal of Complex Medicine

摘　　要：目的剖析在临床治疗肾炎蛋白尿患者中采用中医清利湿热法为主的临床施行疗效,旨在为后期临床治疗提供有力可靠的理论支持。方法随机筛选于2016年1月—2018年1月期间入院接受治疗108例肾炎蛋白尿患者,根据不同治疗方式,平均分配为剖析组与对照组,各为54例。剖析组(n=54)施以中医清利湿热法为主的治疗方式;对照组(n=54)施以常规西医的治疗方式。将2组的施行疗效、尿蛋白水平、不良反应情况进行分析与比较。结果剖析组的施行疗效(94.44%)明显优于对照组(85.19%)(χ~2=4.676 7,P=0.030 6 <0.05);2组在治疗前的尿蛋白水平分别为(2.81±0.93)、(2.75±0.60)g/d,比较差异无统计学意义(t=0.398 4,P=0.691 2>0.05);经治疗后,剖析组的尿蛋白水平(1.86±0.40)g/d显著低于对照组(1.18±0.34)g/d(t=9.518 4,P=0.000 0<0.05)。结论在临床治疗肾炎蛋白尿患者中采用中医清利湿热法为主的治疗方式,可在最大程度上控制病情进展,改善蛋白尿水平;相比于西药治疗方式,中医清利湿热法为主更具有代表性,施行疗效可观,不良反应少。在临床中,具有广泛实践意义。Objective To analyze the clinical efficacy of traditional Chinese medicine Qingli damp-heat method in patients with clinical nephritis and proteinuria, aiming to provide strong and reliable theoretical support for later clinical treatment. Methods A total of 108 patients with nephritis proteinuria who were admitted to hospital from January 2016 to January 2018 were randomly selected. Accord-ing to different treatment methods, the average distribution was between the analysis group and the control group, with 27 cases each.The analysis group（n=54） was treated with traditional Chinese medicine Qingli damp heat method; the control group（n=54） was treated with conventional Western medicine. The efficacy, urine protein levels, and adverse reactions of the two groups were analyzed and compared. Results The efficacy of the analysis group（94.44%） was significantly better than that of the control group（85.19%）（χ^2=4.676 7, P=0.030 60.05）. The urine protein levels of the two groups before treatment were（2.81 ±0.93）,（2.75±0.60）g/d, the difference was small（t=0.398 4, P=0.691 20.05）, the urinary protein level of the analysis group（1.86±0.40） g/d, significantly lower than the control group（1.86±0.40） g/d（t=9.518 4, P=0.000 00.05）. Conclusion In the clinical treatment of patients with nephritis proteinuria, the traditional Chinese medicine Qingli damp-heat method is the main treatment method, which can control the progress of the disease to the greatest extent and improve the proteinuria level. Compared with the western medicine treatment method, the traditional Chinese medicine Qingli damp heat method is more representative and has considerable curative effect and few side effects. In the clinical, it has a wide range of practical significance.

关 键 词：肾炎蛋白尿 中医 清利湿热 

分 类 号：R256.5[医药卫生—中医内科学]