中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
22期
82-84
,共3页
2型糖尿病肾病Ⅳ期%中西医结合%六味地黄汤加减
2型糖尿病腎病Ⅳ期%中西醫結閤%六味地黃湯加減
2형당뇨병신병Ⅳ기%중서의결합%륙미지황탕가감
Diabetic nephropathy%Combine traditional Chinese and Western medicine%Liuwei Dihuang Decoction
目的：探讨中西医结合治疗2型糖尿病肾病Ⅳ期的治疗效果。方法选择2010年01月～2013年12月我院住院治疗的2型糖尿病肾病Ⅳ期患者158例，采用重组人胰岛素、依那普利和/或氯沙坦、胰激肽原酶、阿托伐汀钙等治疗79例作为西医治疗组，在西医治疗基础上加服六味地黄汤加减79例作为中西医结合治疗组。两组持续治疗2个月。观察并比较两组治疗前后24h尿蛋白定量的变化及生化指标变化。结果西医治疗组总有效率为83.54％，中西医结合治疗组的总有效率为91.14％，两组相比，差异有统计学意义（P＜0.05），中西医结合组24h尿蛋白定量降低和血黏度改善优于西医组（P＜0.05）。结论中西医结合治疗2型糖尿病肾病Ⅳ期的治疗效果显著，能有效延缓2型糖尿病肾病Ⅳ期进展。
目的：探討中西醫結閤治療2型糖尿病腎病Ⅳ期的治療效果。方法選擇2010年01月～2013年12月我院住院治療的2型糖尿病腎病Ⅳ期患者158例，採用重組人胰島素、依那普利和/或氯沙坦、胰激肽原酶、阿託伐汀鈣等治療79例作為西醫治療組，在西醫治療基礎上加服六味地黃湯加減79例作為中西醫結閤治療組。兩組持續治療2箇月。觀察併比較兩組治療前後24h尿蛋白定量的變化及生化指標變化。結果西醫治療組總有效率為83.54％，中西醫結閤治療組的總有效率為91.14％，兩組相比，差異有統計學意義（P＜0.05），中西醫結閤組24h尿蛋白定量降低和血黏度改善優于西醫組（P＜0.05）。結論中西醫結閤治療2型糖尿病腎病Ⅳ期的治療效果顯著，能有效延緩2型糖尿病腎病Ⅳ期進展。
목적：탐토중서의결합치료2형당뇨병신병Ⅳ기적치료효과。방법선택2010년01월～2013년12월아원주원치료적2형당뇨병신병Ⅳ기환자158례，채용중조인이도소、의나보리화/혹록사탄、이격태원매、아탁벌정개등치료79례작위서의치료조，재서의치료기출상가복륙미지황탕가감79례작위중서의결합치료조。량조지속치료2개월。관찰병비교량조치료전후24h뇨단백정량적변화급생화지표변화。결과서의치료조총유효솔위83.54％，중서의결합치료조적총유효솔위91.14％，량조상비，차이유통계학의의（P＜0.05），중서의결합조24h뇨단백정량강저화혈점도개선우우서의조（P＜0.05）。결론중서의결합치료2형당뇨병신병Ⅳ기적치료효과현저，능유효연완2형당뇨병신병Ⅳ기진전。
ObjectiveTo investigate the Clinical effects of traditional Chinese and western medicine in treatment of diabetic nephropathy.Methods158 patients with diabetic nephropathy from the 2010 January to 2013 December in our hospital were divided into the western medicine group and the cooperation of chinese and western medicine treatment group, 79 cases in each group. The western medicine group was given the treatment of recombinant human insulin, bea Knapp Leigh and/or losartan, pancreatic kininogenase, atorvastatin calcium, etc. On the basis of western medicine, the cooperation of chinese and western medicine treatment group was give Liuwei Dihuang Decoction. The treatments of two groups were continued for 2 months. The urinary protein quantitative change and biochemical indexes change in 24 hour were observed and compared between before and after treatment in both groups.Results The total effectiveness of western medicine treatment group was 83.54%, and the total efficiency of the combine traditional Chinese and Western medicine treatment group was 91.14%. The difference of two groups was statistically significant(P<0.05). 24 hour urinary protein quantitative and reduce blood viscosity of the combine traditional Chinese and Western medicine treatment group were better than those of the control group (P<0.05). Conclusion Combine traditional Chinese and Western medicine treatment of diabetic nephropathy is obvious curative effect, can effectively delay the progression of diabetic nephropathy.
