中西医结合治疗糖尿病肾病34例临床观察

王明洲; 朱秋实; 邵浩平; 吴小兰

文章摘要

王明洲朱秋实邵浩平吴小兰.中西医结合治疗糖尿病肾病34例临床观察[J].实用中西医结合临床,2014,14(6):9-11

中西医结合治疗糖尿病肾病34例临床观察

Clinical Observation on Integrated TCM and WM Therapy for 34 Diabetic Nephropathy Patients

DOI：

中文关键词: 糖尿病肾病中西医结合疗法黄芪四物汤

英文关键词: Diabetic nephropathy Integrated TCM and WM Huangqisiwu decoction

基金项目:

作者	单位
王明洲朱秋实邵浩平吴小兰	甘肃省华亭煤业集团公司总医院

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中文摘要:

目的：观察中西医结合治疗糖尿病肾病的疗效。方法：将68例患者随机分为对照组和治疗组各34例，两组患者均健康教育、控制饮食、适当运动、优质低蛋白饮食[0.6 g/（kg·d）]。对照组在应用改善肾血流动力学、减少尿蛋白排出（应用代文等）的基础上，常规降糖、降压、调脂治疗；治疗组在对照组的基础上加用中药自拟黄芪四物汤（黄芪、当归、川芎、熟地、白芍，1剂/d，水煎分2次服）。疗程为3个月。结果：两组疗效比较，治疗组优于对照组（P＜0.05）。两组治疗后24 h尿蛋白总量及血脂、HbA1c、BUN、SCr等指标比较，治疗组与对照组存在显著差异（P＜0.05）。结论：中西医结合治疗糖尿病肾病疗效显著，值得推广。

英文摘要:

Objective: To observe clinical effect of integrated TCM and WM therapy for diabetic nephropathy. Method: 68 Patients with diabetic nephropathy were randomly divided into control group and treatment group, each group consisting of 34 patients. Before the treatment, patients in both groups were health care instructions and controlled high quality diet with low protein [0.6 g/(kg·d)], each taking proper physical exercises. During the treatment, patients in the control group, while adopting methods improving renal hemodynnamic force and controlling urine protein excretion (taking Diovan and other medicines), were applied to regular western medicines which lowers the level of sugar, pressure and lipid. Patients in the treatment group, besides taking the therapy applied to control group, also took Huangqisiwu decoction that contains chinese angelica, ligusticum wallichii, rehmannia glutinosa and white paeony root, one potion each day for three months. Result: After three months, patients in the treatment group witnessed better recovery than those in the control group (P<0.05). After the treatment, significant difference of total protein, blood lipid, HbA1c, BUN, and SCr between the two groups were observed(P<0.05). Conclusion: Integrated TCM and WM therapy yields better clinical effect for diabetic nephropathy patients and should be promoted and popularized in clinical use.

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