摘要
目的探讨益气养阴清热利湿法治疗慢性肾小球肾炎的效果。方法将60例慢性肾炎患者随机分成治疗组和对照组,治疗组30例,予益气养阴清热利湿法治疗;对照组30例,予肾炎康复片治疗。观察治疗前后尿蛋白定性、24h尿蛋白定量、尿常规红细胞数、尿β2微球蛋白等指标。结果两组患者尿蛋白、尿红细胞控制情况及综合疗效比较差异均有统计学意义(P<0.01);治疗组治疗前后实验室指标比较,除尿β2微球蛋白水平无明显改变(P>0.05)外,其他三项指标差异均有统计学意义(P<0.05);对照组治疗前后各指标比较差异均无统计学意义(P>0.05)。两组治疗后比较,24h尿蛋白定量、尿蛋白定性及尿红细胞差异均有统计学意义(P<0.05),尿β2微球蛋白比较无明显差异(P>0.05)。结论应用益气养阴清热利湿法治疗慢性肾炎,可以降低尿蛋白及尿常规红细胞数,临床上具有较好的疗效。
Objective To observe the clinical effect of replenishing Qi and nourishing Yin,clearing up heat and draining dampness in treating chronic glomerulonephritis.Methods Sixty patients with chronic glomerulonephritis were randomized divided into two groups.30 patients were treated by the method of replenishing Qi and nourishing Yin,clearing up heat and draining dampness.Others were treated with nephritis rehabilitation tables.Analysis on the variation before and after the treatment in the qualitative determination of urinary protein,24-hour urinary protein,urinary sediment red blood cell,urinaryβ2-microglobulin microglobulin and other indicators,and the changes law of syndromes in Chinese medicine.Results There are no significant differences between two groups in urine protein,urinary sediment red blood cell and compositive curative effect.The differences of the other indexes are significant（all P0.01）except that of urineβ2-microglobulin in treatment group and there are no significant differences of all indexes in control group between befor and after treatment.There are significant differences in 24 h urine protein quantitation,urine protein qualitation and urinary sediment red blood cell except theβ2-microglobulin between two group after treatment.Conclusion Replenishing Qi and nourishing Yin,clearing up heat and draining dampness is an effective method to treat chronic glomerulonephritis,it can decrease urine protein and urinary sediment red blood cell.
出处
《医学综述》
2010年第9期1420-1422,共3页
Medical Recapitulate
关键词
益气养阴清热利湿
慢性肾小球肾炎
尿蛋白
尿红细胞
Replenishing Qi and nourishing Yinclearing up heat and draining dampness
Chronic glomerulonephritis
Urine protein
Urinary sediment red blood cell
