CAJ | 학술논문

目的：探讨益肾解毒通络汤治疗消渴肾病脾肾阳虚挟瘀毒证的临床疗效。方法：选取中医内科2009年1月～2012年12月期间诊治的80例消渴肾病脾肾阳虚挟瘀毒证患者为研究对象，采用自身对照法回顾性分析益肾解毒通络汤的效果。结果：治疗后患者空腹血糖和餐后2h 血糖较治疗前均显著减低，t=2.813，2.324，P<0.05，提示治疗前后比较存在显著差异性，益肾解毒通络汤能显著改善患者的糖代谢和蛋白尿指标，治疗前后神疲乏力、畏寒肢冷、腰膝酸软、面足水肿、夜尿频多及大便稀溏等中医症候变化明显。结论：益肾解毒通络汤治疗消渴肾病脾肾阳虚挟瘀毒证疗效确切，值得临床推广应用。
목적：탐토익신해독통락탕치료소갈신병비신양허협어독증적림상료효。방법：선취중의내과2009년1월～2012년12월기간진치적80례소갈신병비신양허협어독증환자위연구대상，채용자신대조법회고성분석익신해독통락탕적효과。결과：치료후환자공복혈당화찬후2h 혈당교치료전균현저감저，t=2.813，2.324，P<0.05，제시치료전후비교존재현저차이성，익신해독통락탕능현저개선환자적당대사화단백뇨지표，치료전후신피핍력、외한지랭、요슬산연、면족수종、야뇨빈다급대편희당등중의증후변화명현。결론：익신해독통락탕치료소갈신병비신양허협어독증료효학절，치득림상추엄응용。
Objective:To investigate the Yishen Jiedu Tongluo decoction on treating diabetes nephropathy spleen deficiency and stasis toxic syndrome. Methods: 80 cases from January 2009 to December 2012 in TCM internal medicine were collected, using self-control method retrospective analysis of kidney JieDu TongLuo soup effect. Results:After treatment, fasting and 2h postprandial blood glucose were significantly lower than before treatment, t=2.813, 2.324, P<0.05, before and after treatment there was a significant difference, Yishen Jiedu Tongluo decoction can significantly improve patients?sugar metabolism and proteinuria indicators before and after treatment lassitude, aversion to cold, weak knees, face foot edema, nocturia and loose stool, etc. TCM symptoms changed significantly. Conclusion:The Yishen Jiedu Tongluo decoction is effective on treating diabetes nephropathy spleen deficiency and stasis toxic syndrome, worthy of a wide clinical application.