摘要
目的:评价蒙医艾灸治疗过敏性紫癜性肾炎的疗效。方法:选取符合诊断标准的过敏性紫癜性肾炎患者61例,随机分为观察组30例和对照组31例。观察组按照过敏性紫癜蒙医诊疗方案治疗同时结合蒙医艾灸治疗。对照组按照过敏性紫癜的蒙医诊疗方案治疗。对比两组患者总有效率,主要症状好转情况、尿潜血和蛋白尿的好转情况、分析病程与尿潜血和蛋白尿好转情况、安全性指标。结果:总有效率对比:观察组的治愈率为60%,好转率为20%,总有效率为80%;对照组的治愈率为32.6%,好转率为19.4%,总有效率为53.3%;观察组明显优于对照组,具有统计学差异。两组患者治疗后主要症状及尿潜血、蛋白尿好转情况比较,观察组皮肤紫癜好转比对照组明显,P<0.05,具有统计学差异;观察组治疗后尿潜血和蛋白尿均明显好转,P<0.01,具有统计学差异;对照组治疗后蛋白尿明显好转,P<0.01,具有统计学差异。治疗后两组患者尿潜血、蛋白尿好转情况相比,观察组尿潜血、蛋白尿好转优于对照组,P<0.05,具有统计学差异。根据病程分阶段评价两组患者尿潜血好转情况,结果显示,在发病1~30天内接受艾灸治疗患者明显好转,P<0.05,具有统计学差异;在发病1~10天内接受艾灸患者蛋白尿明显好转,P<0.01,具有统计学差异;复发病人接受1疗程艾灸治疗后蛋白尿明显好转,P<0.05,具有统计学差异。观察患者治疗前后血常规,肝、肾功能变化,结果显示未见明显异常,显示该治疗方法无明显毒副作用。结论:蒙医艾灸对过敏性紫癜性肾炎临床疗效显著,且尽早使用艾灸治疗干预的效果更好,显著提高皮肤紫癜的好转率、明显缩短病程。温热程度施灸法未出现烫伤、红肿等不良情况,相对安全,毒副作用小。
Objective:To evaluate the clinical efficacy of Mongolian medicine moxibustion on allergic purpura nephritis. Methods:61 patients with Henoch-Schonlein purpura nephritis were randomly divided into an observation group and a control group,30 cases in the observation group and 31 cases in the control group. The observation group was treated according to the Mongolian medicine diagnosis and treatment plan for allergic purpura and combined with Mongolian medicine moxibustion therapy. The control group was treated according to the Mongolian medicine treatment plan for allergic purpura. The total effective rate,the improvement of main symptoms,urine occult blood and proteinuria of the two groups were compared. The course of disease,improvement of urine occult blood and proteinuria,and safety indexes were analyzed. Results:Comparison of total effective rate:the cure rate of observation group was 60%,the improvement rate was 20%,and the total effective rate was 80%. The cure rate of control group was 32.6%,the improvement rate was 19.4%,and the total effective rate was 53.3%,that is,the observation group was significantly better than the control group,with statistical differences. Comparison of the improvement of main symptoms,urinary occult blood and proteinuria of the two groups after treatment:the improvement of skin purpura in the observation group was more obvious than that in the control group,P<0.05,there was statistical difference;the urine occult blood and proteinuria in the observation group were significantly improved after treatment,P<0.01,with statistical difference;the proteinuria in the control group improved significantly after treatment,P<0.01,with statistical difference. Comparison of the improvement of urine occult blood and proteinuria of the two groups after treatment:the observation group was better than the control group,P<0.05,with statistical differences. The improvement of urinary occult blood of the two group patients was evaluated by stages according to the disease course. The results showed th
作者
额尔敦都楞
布仁巴图
王双连
哈申高娃
龚翠琴
文萍
潮力格尔
Eerdunduleng;Burenbatu;WANG Shuang-lian;Hashengaowa;GONG Cui-qin;WEN Ping;Chaoligeer(Affiliated Hospital,Inner Mongolia Minzu University,Tongliao 028000,China)
出处
《内蒙古民族大学学报（自然科学版）》
2022年第1期72-76,共5页
Journal of Inner Mongolia Minzu University：Natural Sciences
基金
内蒙古自治区自然科学基金项目(2018MS08122)
内蒙古科技计划项目(201802147)。
关键词
过敏性紫癜性肾炎
蒙医艾灸疗法
疗效评价
Allergic purpura nephritis
Mongolian medicine moxibustion therapy
Curative effect evaluation
