清热益气法辅治难治性肾病综合征临床观察  

作　　者：李娅妮[1] 徐忠秀[1] 李惠 

机构地区：[1]江苏省常州市武进人民医院肾内科

出　　处：《实用中医药杂志》2019年第12期1530-1531,共2页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察清热益气法辅治难治性肾病综合征的临床疗效。方法:94例随机分为观察组和对照组各47例。两组均给予西医常规治疗,观察组加用清热益气法治疗。结果:观察组总有效率高于对照组(P<0.05)。两组治疗后白蛋白明显升高、24h尿蛋白定量及血肌酐明显降低(P<0.05),而观察组白蛋白高于对照组(P<0.05),24h尿蛋白定量及血肌酐低于对照组(P<0.05)。两组治疗后的全血黏度、血浆黏度、FIB、D二聚体明显降低(P<0.05),而观察组全血黏度、血浆黏度、FIB、D二聚体低于对照组(P<0.05)。结论:清热益气法辅治难治性肾病综合征可提高疗效。Objective:To observe the clinical efficacy of Qingre Yiqi method in adjuvant treatment of refractory nephrotic syndrome.Method:94 cases were randomly divided into observation group and control group,with 47 cases in each group.Both groups were given conventional treatment with western medicine and the observation group were treated with heat-clearing and qi-enhancing method in addtition.Result:The total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment in both groups,albumin increased significantly and urine protein quantification,and serum creatinine decreased significantly at the time point of the 24th hour(P<0.05).The albumin in the observation group was higher than that in the control group(P<0.05) and urine protein quantification,and serum creatinine in the observation group was lower than that in the control group at the time point of the 24th hour(P<0.05).After treatment,the whole blood viscosity,plasma viscosity,FIB and D-dimer were significantly reduced in the two groups(P<0.05).The whole blood viscosity,plasma viscosity,FIB,and D-dimer in the observation group were lower than those in the control group(P<0.05).Conclusion:The method of clearing heat and benefiting qi in adjuvant treatment of refractory nephrotic syndrome can improve the curative effect.

关 键 词：难治性肾病综合征 清热益气法 对照治疗观察 

分 类 号：R692.9[医药卫生—泌尿科学]