摘要
[目的]观察辨证分型联合西药治疗急性肾炎疗效。[方法]使用随机平行对照方法．将60例住院患者按随机数字表法分为两组。对照组30例双氢克尿噻，1～2mg／kg，3）L／d，口服。氨苯蝶啶片1～2mg／kg＋10％葡萄糖10mL，4～6次／d，静注；高血压加硝苯吡啶，0．1～0．2mg／kg，2～3次／d，口服。治疗组30例①风水相博。麻黄连翘赤小豆汤合五苓散（麻黄3～6g，连翘9g，赤小．9-30g，五苓散5g）。②阴虚邪恋，知柏地黄丸合二至丸（知母、黄柏、桑白皮、黄芩、山楂、甘草各10g，生地15g，女贞子、旱莲草各20g，丹参30g），1剂／d，水煎100mL，早晚口服。西医治疗同对照组。连续治疗15d为1疗程。观测临床症状、不良反应。连续治疗4疗程，判定疗效。[结果]治疗组痊愈22例。显效6例．有效1例．无效1例．总有效率96．67％。对照组痊愈15例．显效4例．有效1例。无效10例．总有效率66．67％。治疗组疗效优于对照组（P〈0．05）。生化指标改善治疗组优于对照组（P〈0．05）。[结论]辨证分型联合西药治疗急性肾炎效果显著．值得推广。
[ Objective ] To observe the therapeutic effect of syndrome differentiation of TCM combined with western medicine in treatment of acute glomerulonephritis. E Methods ] Using randomized controlled methods, will be divided into two groups according to the random number table, 60 cases of hospitalized patients. A control group of 30 cases of hydrochlorothiazide, 1 - 2mg/kg, 3/d, oral. Triamterene Tablets 1 - 2mg/kg ＋ 10% glucose 10mL, 4 - 6/d, intravenous injection plus nifedipine; hypertension, 0.1 - 0.2mg/kg, 2 3/d, oral. The treatment group of 30 cases of Feng Shui with Bo, ephedra Forsythia adzuki beans soup Poria five powder （Mahuang 3 - 6g, Lianqiao 9g, Chixiaodou 30g, Wulingsan 5g ） . The Yin evil love, Zhibai Dihuang pills two pills to （ Zhimu, Huangbo, Sangbaipi, Huangqin, Shanzha, Gancao each 10g, Shengdi 15g, Nvzhenzi, Hanliancao each 20g, Danshen 30g ） . These drugs were 1 agent/d, water simmer in water 100mL, sooner or later oral. Western medicine treatment with the control group. Continuous treatment with 15d for 1 courses. Observation of clinical symptoms, adverse reaction. Continuous 4 courses of treatment, the curative effect. [ Results ] The treatment group cured 22 cases, effective in 6 cases, effective 1 cases, invalid 1 eases, the total efficiency of 96.67%. The control group 15 cases were cured, 4 cases markedly effective, effective 1 cases, invalid 10 cases, the total efficiency of 66.67%. The treatment group was better than control group （ P〈 0.05 ） . Biochemical index were improved in treatment group than in control group （ P〈 0.05 ） . [ Conclusion ] Syndrome differentiation treatment of traditional Chinese medicine combined with western medicine in the treatment of acute nephritis effect is significant, worthy of promotion.
出处
《实用中医内科杂志》
2014年第1期102-104,共3页
Journal of Practical Traditional Chinese Internal Medicine
