J4 ›› 2015, Vol. 14 ›› Issue (8): 41-44.

• 临床医学 • 上一篇    下一篇

保肾方治疗脾肾气虚型慢性肾炎临床观察

  

  1. (临沧市人民医院,云南临沧677000)
  • 收稿日期:2015-04-10 出版日期:2015-08-15 发布日期:2015-08-15
  • 作者简介:唐贞力,主任医师,主要从事中医肾病及疑难病研究.

Clinical Observation of Baoshen Decoction Treating Chronic Nephritis Caused by Spleen-Kidney Deficiency

  1. (People's Hospital of Lincang, Lincang, Yunnan 677000, China)
  • Received:2015-04-10 Online:2015-08-15 Published:2015-08-15

摘要:

目的:观察保肾方治疗脾肾气虚型慢性肾炎患者的疗效。方法:将60例中医辨证为气阴两虚型的慢性肾炎患者随机分
为治疗组30例和对照组30例,均给予常规西医治疗主要为:优质低蛋白饮食、厄贝沙坦片75 mg 1次/d,治疗组加用保肾方浓
煎200 mL口服1次/d,疗程4周。观察两组治疗前后蛋白尿情况、中医证候积分情况及证候疗效。结果:两组治疗后蛋白尿与
治疗前相比,差异有统计学意义(P <0.05),且治疗组在蛋白尿改善方面优于对照组(P <0.05)。结论:保肾方治疗脾肾气虚型
慢性肾炎疗效确切。

关键词: 慢性肾炎, 气阴两虚, 肾炎方

Abstract:

Objective: To observe the treatment of Baoshen decoction on chronic nephritis caused by spleen-kidney deficiency.
Methods: Sixty patients with chronic nephritis caused by spleen-kidney deficiency diagnosed by traditional Chinese medicine(TCM)
were randomly divided into treatment group(30 cases)and control group(30 cases). Each group was given conventional Western
medicine treatment: high quality low protein diet, irbesartan tablets(75 mg qd). In addition, the treatment group orally took Baoshen
decoction 200 mL qd for 4 weeks. The proteinuria, TCM syndromes, efficacy of TCM syndrome before and after treatment were
compared. Results: Proteinuria decreased after the treatment in both groups, the difference was statistically significant(P <0.05). And
the proteinuria of treatment group was much improved than the control group, the difference was statistically significant(P < 0.05).
Conclusion: Baoshen decoction has an outstanding curative effect for chronic nephritis caused by spleen-kidney deficiency.

Key words: chronic nephritis, deficiency of vital energy and Yin, nephritis decoction

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