CAJ | 학술논문

目的观察西医治疗结合紫癜肾综方治疗肾病综合征型紫癜性肾炎的临床效果.方法将我院门诊及病房收治的肾病综合征型紫癜性肾炎随机分为两组:对照组采用经典西药治疗,共30例;观察组在西药治疗基础上加用紫癜肾综方治疗,共35例.观察两组治疗效果,并对其疗效进行比较.结果观察组有效率为94.3%,疗效优于对照组的73.3%(P<0.05).向心性肥胖发生率观察组发生率22.9%,小于对照组66.7%(P<0.01).观察组治疗前后24 h尿蛋白定量、血清白蛋白、血胆固醇差异均有统计学意义,且明显优于对照组(P<0.01).结论紫癜肾综方结合西医治疗肾病综合征型紫癜性肾炎可增强疗效,减少药物不良反应.
목적 관찰서의치료결합자전신종방치료신병종합정형자전성신염적림상효과.방법 장아원문진급병방수치적신병종합정형자전성신염수궤분위량조:대조조채용경전서약치료,공30례;관찰조재서약치료기출상가용자전신종방치료,공35례.관찰량조치료효과,병대기료효진행비교.결과 관찰조유효솔위94.3%,료효우우대조조적73.3%(P<0.05).향심성비반발생솔관찰조발생솔22.9%,소우대조조66.7%(P<0.01).관찰조치료전후24 h뇨단백정량、혈청백단백、혈담고순차이균유통계학의의,차명현우우대조조(P<0.01).결론 자전신종방결합서의치료신병종합정형자전성신염가증강료효,감소약물불량반응.
Objective To investigate the therapeutic effect of combined treatment of traditional chinese with west-ern medicine on nephrotic syndrome purpuric nephritis. Methods Sixty - five cases with nephrotic syndrome purpuric ne-phritis were divided randomly into treatment group and control group. Thirty - five cases in treatment group were treated by combined treatment of traditional chinese with western medicine, 30 cases in control group were treated only by western medicine. Results The effective rate in treatment group was 94.3%, which was significantly higher than that in control group(73.3% ) (P < 0.05). The side effect in treatment group was 22.9%, which was significantly lower than that in control group(66.7%) (P < 0.01). There was significant difference in urinary protein of 24 h pro, serum albumine,cho-lesterol before and after treatment, which was superior to those in control group (P < 0.01). Conclusions The effect of combined treatment of traditional chinese with western medicine is obviously superior to that of western medicine alone in improving prognosis of nephrotic syndrome purpuric nephritis and decreasing the incidence of adverse effect.