加味连根汤治疗血尿31例疗效观察  

Efficacy observation on 31 cases of hematuria treated by modified Liangen Decoction

作　　者：石杨 SHI Yang(Department of Traditional Chinese Medicine,Sanjianfang Community Health Service Center of Chaoyang District,Beijing 100024,China)

机构地区：[1]北京市朝阳区三间房社区卫生服务中心中医科,100024

出　　处：《中国实用医药》2024年第6期143-146,共4页China Practical Medicine

摘　　要：目的 观察加味连根汤在血尿治疗中的效果。方法 61例血尿患者,采用随机法分为对照组(30例)和治疗组(31例)。两组均给予常规治疗,在此基础上对照组给予保肾康(阿魏酸哌嗪片)治疗,治疗组加用加味连根汤治疗。比较两组治疗前后中医证候积分、尿沉渣红细胞计数及临床疗效。结果 治疗后,两组腰脊酸痛、疲倦乏力、面色无华、小便涩痛不利积分均较本组治疗前明显更低,差异有统计学意义(P<0.05);治疗后,治疗组腰脊酸痛、疲倦乏力、面色无华、小便涩痛不利积分分别为(1.48±0.94)、(1.65±0.46)、(1.76±0.84)、(1.32±0.91)分,明显低于对照组的(2.04±0.97)、(2.13±1.12)、(2.13±0.35)、(1.81±0.52)分,差异有统计学意义(P<0.05)。治疗组、对照组总有效率分别为87.10%、56.67%,组间比较差异有统计学意义(P<0.05)。治疗后,两组尿沉渣红细胞计数较本组治疗前明显更少,差异有统计学意义(P<0.05);治疗后,治疗组尿沉渣红细胞计数(16.93±5.69)个/μl明显少于对照组的(72.06±15.30)个/μl,差异有统计学意义(P<0.05)。治疗组停药1个月后复发率16.13%低于对照组的60.00%,差异具有统计学意义(P<0.05)。结论 加味连根汤可有效治疗血尿,能较好地改善患者临床症状,且复发率低,值得应用。Objective To observe the effect of modified Liangen Decoction in the treatment of hematuria.Methods According to the randomized method,61 cases of hematuria were included into the control group(30 cases)and the treatment group(30 cases).The two groups were treated with routine treatment.On this basis,the control group was treated with western medicine Baoshenkang(piperazine ferulate tablets),and the treatment group was treated with modified Liangen Decoction.The traditional Chinese medicine syndrome score and red blood cell count in urinary sediment before and after treatment,and clinical efficacy were compared between the two groups.Results After treatment,the scores of lumbar spine pain,facial discoloration and urine astringency in both groups were significantly lower than those before treatment,and the difference was statistically significant(P<0.05).After treatment,the scores of lumbar spine pain,facial discoloration and urine astringency in the treatment group were(1.48±0.94),(1.65±0.46),(1.76±0.84)and(1.32±0.91)points,which were obviously lower than(2.04±0.97),(2.13±1.12),(2.13±0.35)and(1.81±0.52)points in the control group.The difference was statistically significant(P<0.05).The total effective rate of the treatment group and the control group was 87.10%and 56.67%,and the difference between groups was statistically significant(P<0.05).After treatment,the red blood cell count in urinary sediment in both groups was significantly less than that before treatment,and the difference was statistically significant(P<0.05).After treatment,the red blood cell count in urinary sediment was(16.93±5.69)/μl in the treatment group,which was significantly less than(72.06±15.30)/μl in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the treatment group was 16.13%,which was lower than 60.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion Modified Liangen Decoction can effectively treat hematuria and improve clinical symptoms

关 键 词：血尿 加味连根汤 保肾康 

分 类 号：R277.5[医药卫生—中医学]