CAJ | 학술논문

目的：探讨中医辨证分型分析对慢性肾小球肾炎患者治疗中的临床效果。方法从2011年1月—2014年12月期间我院共诊断慢性肾小球肾炎患者80例，采用分型诊断患者，随后使用中医辨证治疗法进行治疗，患者的治疗时间为一个疗程（3个月），对患者的临床治疗效果进行统计分析。结果经诊断后患者确诊为气阴两虚证患者20例，治疗后10例痊愈，8例好转，2例无效，总有效率为90%；肝阴虚证患者20例，经治疗后8例痊愈，8例好转，4例治疗无效，总有效率为80%；脾虚湿困证患者20例，经治疗后痊愈10例，好转8例，2例治疗无效，总有效率为90%；脾肾阳虚证患者20例，治疗后痊愈12例，好转7例，治疗无效1例，总有效率为95%，患者的数据差异性具有统计学意义（P<0.05）。结论对慢性肾小球肾炎患者采用中医辨证分型治疗法进行治疗，临床治疗效果明显，值得临床推广使用。
목적：탐토중의변증분형분석대만성신소구신염환자치료중적림상효과。방법종2011년1월—2014년12월기간아원공진단만성신소구신염환자80례，채용분형진단환자，수후사용중의변증치요법진행치료，환자적치료시간위일개료정（3개월），대환자적림상치료효과진행통계분석。결과경진단후환자학진위기음량허증환자20례，치료후10례전유，8례호전，2례무효，총유효솔위90%；간음허증환자20례，경치료후8례전유，8례호전，4례치료무효，총유효솔위80%；비허습곤증환자20례，경치료후전유10례，호전8례，2례치료무효，총유효솔위90%；비신양허증환자20례，치료후전유12례，호전7례，치료무효1례，총유효솔위95%，환자적수거차이성구유통계학의의（P<0.05）。결론대만성신소구신염환자채용중의변증분형치요법진행치료，림상치료효과명현，치득림상추엄사용。
Objective To explore clinical effect of the TCM syndro me differentiation analysis on treatment of patients with chronic glomerulonephritis. Methods 80 cases were diagnosed with chronic glomerulonephritis from January 2011 to December 2014 in our hos-pital. By typing diagnosis, patients were diagnosed and treated with therapy of TCM. The treatment course was 3 months. The clinical ef-fect was analyzed. Results After diagnosing 20 cases of syndrome of deficiency of both qi and yin, 10 patients recovered, 8 cases im-proved, 2 cases ineffective, the total effective rate was 90%; 20 cases of syndrome of deficiency of liver yin patients after treatment, 8 pa-tients recovered, 8 patients improved, 4 cases ineffective, the total effective rate was 80%; 20 cases of dampness stagnancy due to spleen deficiency, 10 patients were cured, 8 patients improved, 2 cases invalid, the total effective rate was 90%;20 cases of yang deficiency of spleen and kidney, 12 patients recovered, 7 patients improved, 1 patients invalid, the total effective rate was 95%, there were statistical significant differences ( P<0.05) . Conclusion The clinical treatment effect of TCM syndrome differentiation on the treatment of chronic glomerulonephritis is obvious, and it is worthy of clinical use.