护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2015年
8期
6-8
,共3页
糖尿病肾病%六味地黄汤%中药疗法
糖尿病腎病%六味地黃湯%中藥療法
당뇨병신병%륙미지황탕%중약요법
Diabetic nephropathy%Liuwei Dihuang decoction%Traditional Chinese medicine therapy
目的:探讨六味地黄汤治疗老年2型糖尿病肾病的临床疗效。方法:将120例老年2型糖尿病肾病患者随机等分为对照组和治疗组。对照组予以常规西医治疗,治疗组在对照组治疗的基础上加用六味地黄汤。两组均治疗3个疗程后统计临床综合疗效,并观察两组治疗前后中医证候评分、空腹血糖(FBG)、餐后2 h血糖(PBG)、糖化血红蛋白(HbAlc)、24 h尿白蛋白排泄率(UAE)、内生肌酐清除率(Ccr)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)及低密度脂蛋白胆固醇(LDL-C)。结果:治疗组患者临床综合疗效优于对照组(P<0.05)。治疗组治疗后中医证候评分、UAE、Ccr均低于对照组(P<0.05)。两组患者治疗前后FBG,PBG,HbAlc,TC,TG,HDL-C及LDL-C经比较有统计学意义(P<0.05),两组治疗后各项经比较均无统计学意义(P>0.05)。结论:六味地黄汤治疗老年2型糖尿病肾病患者临床疗效确切。
目的:探討六味地黃湯治療老年2型糖尿病腎病的臨床療效。方法:將120例老年2型糖尿病腎病患者隨機等分為對照組和治療組。對照組予以常規西醫治療,治療組在對照組治療的基礎上加用六味地黃湯。兩組均治療3箇療程後統計臨床綜閤療效,併觀察兩組治療前後中醫證候評分、空腹血糖(FBG)、餐後2 h血糖(PBG)、糖化血紅蛋白(HbAlc)、24 h尿白蛋白排洩率(UAE)、內生肌酐清除率(Ccr)、總膽固醇(TC)、甘油三酯(TG)、高密度脂蛋白膽固醇(HDL-C)及低密度脂蛋白膽固醇(LDL-C)。結果:治療組患者臨床綜閤療效優于對照組(P<0.05)。治療組治療後中醫證候評分、UAE、Ccr均低于對照組(P<0.05)。兩組患者治療前後FBG,PBG,HbAlc,TC,TG,HDL-C及LDL-C經比較有統計學意義(P<0.05),兩組治療後各項經比較均無統計學意義(P>0.05)。結論:六味地黃湯治療老年2型糖尿病腎病患者臨床療效確切。
목적:탐토륙미지황탕치료노년2형당뇨병신병적림상료효。방법:장120례노년2형당뇨병신병환자수궤등분위대조조화치료조。대조조여이상규서의치료,치료조재대조조치료적기출상가용륙미지황탕。량조균치료3개료정후통계림상종합료효,병관찰량조치료전후중의증후평분、공복혈당(FBG)、찬후2 h혈당(PBG)、당화혈홍단백(HbAlc)、24 h뇨백단백배설솔(UAE)、내생기항청제솔(Ccr)、총담고순(TC)、감유삼지(TG)、고밀도지단백담고순(HDL-C)급저밀도지단백담고순(LDL-C)。결과:치료조환자림상종합료효우우대조조(P<0.05)。치료조치료후중의증후평분、UAE、Ccr균저우대조조(P<0.05)。량조환자치료전후FBG,PBG,HbAlc,TC,TG,HDL-C급LDL-C경비교유통계학의의(P<0.05),량조치료후각항경비교균무통계학의의(P>0.05)。결론:륙미지황탕치료노년2형당뇨병신병환자림상료효학절。
Objective:To investigate the effect of Liuwei Dihuang decoction treatment of elderly type 2 diabetic nephropathy.Methods:120 elderly patients with type 2 diabetes nephropathy patients randomly divided into control group and treatment group.The control group received routine western medicine treatment,while the treatment group on the basis of control group therapy plus soup of Liuwei Dihuang flavour glutinous rehmannia .To observe the clinical treatment effect after 3 course,and to observe TCM syndrome score,fasting blood glucose ( FBG) ,2 h postprandial blood glucose ( PBG) ,glycosylated hemo-globin (HbAlc),24 h urinary albumin excretion (UAE),endogenous creatinine clearance rate (Ccr),total cholesterol (TC),triglyceride (TG), high -density lipoprotein cholesterol ( HDL-C) and low density lipoprotein cholesterol ( LDL-C) of the two groups before and after treatment .Results:The treat-ment group patients clinical comprehensive curative effect was better than that of control group (P<0.05).The treatment group after treatment of TCM syn-drome score,UAE,Ccr were lower than the control group(P<0.05).Two groups of patients before and after treatment of FBG,PBG,HbAlc,TC,TG,HDL and LDL-C-C by comparison with statistical significance (P<0.05),but after treatment there was no statistical significance (P>0.05) between two groups.Conclusion:Liuwei Dihuang decoction treatment clinical curative effect of elderly patients with type2 diabetic nephropathy.