中西医结合治疗湿热瘀阻型紫癜性肾炎临床观察  

Efficacy observation of integrated traditional Chinese and western medicine on purpura nephritis with syndrome of retention of damp-heat and blood stasis

作　　者：张琳琳[1] 远方 ZHANG Lin-lin;YUAN Fang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学,沈阳110847 [2]辽宁中医药大学附属医院

出　　处：《山西中医》2021年第10期22-24,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察中西医结合治疗湿热瘀阻型紫癜性肾炎的临床疗效。方法:选取符合纳入标准的紫癜性肾炎患者57例,所有患者根据自身意愿与病情非随机选择治疗方式。对照组26例予缬沙坦胶囊口服治疗;治疗组31例在对照组基础上,给予消斑愈肾方。疗程为12周。观察两组患者治疗前后24小时尿蛋白定量、中医证候积分及临床疗效。结果:治疗后,治疗组总有效率为93.55%,显著高于对照组的80.77%(P<0.05);且两组患者24小时尿蛋白定量及中医证候积分值均下降,治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论:中西医结合治疗湿热瘀阻型紫癜性肾炎的临床疗效较好。Objective:To observe the clinical efficacy of integrated traditional Chinese and western medicine on purpuric nephritis with syndrome of retention of damp-heat and blood stasis.Methods:57 cases of patients with purpuric nephritis,who met the inclusion criteria,were selected.All patients chose the treatment-mode nonrandomly according to their real willingness and pathogenetic condition.26 cases of control group were treated with oral valsartan capsule,while 31 cases of treatment group were treated with Xiaoban Yushen recipe on the basis of control group.The course of treatment was 12 weeks.24hrUprV,TCM syndrome score and clinical effect of patients were observed in two groups before and after treatment.Results:After treatment,the total effective rate of treatment group was 93.55%,which was significantly higher than 80.77%of control group(P﹤0.05);24hrUprV and TCM syndrome score of patients in both groups were reduced,the treatment group was significantly better than control group,and the difference was statistically significant(P﹤0.05).Conclusion:The clinical efficacy of integrated traditional Chinese and western medicine on purpuric nephritis with syndrome of retention of damp-heat and blood stasis is better.

关 键 词：紫癜性肾炎 湿热瘀阻 消斑愈肾方 中西医结合疗法 

分 类 号：R692.3[医药卫生—泌尿科学]