湖北中医药大学学报
湖北中醫藥大學學報
호북중의약대학학보
Journal of Hubei University of Chinese Medicine
2015年
5期
70-71,72
,共3页
早期糖尿病肾病%中西医结合疗法%中药灌肠%银杏达莫注射液
早期糖尿病腎病%中西醫結閤療法%中藥灌腸%銀杏達莫註射液
조기당뇨병신병%중서의결합요법%중약관장%은행체막주사액
early diabetic nephropathy%integrated Chinese-western therapy%Chinese medicine enema%Yinxingdamo injection
目的：观察中药灌肠与银杏达莫注射液联合治疗早期糖尿病肾病的临床疗效。方法80例早期糖尿病肾病随机分为两组。对照组40例给予常规西医治疗，治疗组40例在西医治疗基础上给予中药灌肠和银杏达莫注射液治疗。结果治疗后，治疗组总有效率为92．50％，明显高于对照组的75．00％，两组比较差异具有统计学意义（ P＜0．05）；两组各项指标均明显低于治疗前（P＜0．05）；治疗组治疗后的糖化血红蛋白（HbAlc）、血清肌酐（Cr）、内生肌酐清除率（Ccr）、尿白蛋白排泄率（UAE）、尿素氮（BUN）均明显低于对照组（P＜0．05）；两组治疗后的空腹血糖（FPG）、餐后2h血糖（2hPG）水平都明显降低（P＜0．05），且治疗组明显低于对照组（P＜0．05）。结论与单纯西医治疗相比，中药灌肠联合银杏达莫注射液对早期糖尿病肾病的治疗效果更佳，可有效改善肾功能和血糖，值得推广应用。
目的：觀察中藥灌腸與銀杏達莫註射液聯閤治療早期糖尿病腎病的臨床療效。方法80例早期糖尿病腎病隨機分為兩組。對照組40例給予常規西醫治療，治療組40例在西醫治療基礎上給予中藥灌腸和銀杏達莫註射液治療。結果治療後，治療組總有效率為92．50％，明顯高于對照組的75．00％，兩組比較差異具有統計學意義（ P＜0．05）；兩組各項指標均明顯低于治療前（P＜0．05）；治療組治療後的糖化血紅蛋白（HbAlc）、血清肌酐（Cr）、內生肌酐清除率（Ccr）、尿白蛋白排洩率（UAE）、尿素氮（BUN）均明顯低于對照組（P＜0．05）；兩組治療後的空腹血糖（FPG）、餐後2h血糖（2hPG）水平都明顯降低（P＜0．05），且治療組明顯低于對照組（P＜0．05）。結論與單純西醫治療相比，中藥灌腸聯閤銀杏達莫註射液對早期糖尿病腎病的治療效果更佳，可有效改善腎功能和血糖，值得推廣應用。
목적：관찰중약관장여은행체막주사액연합치료조기당뇨병신병적림상료효。방법80례조기당뇨병신병수궤분위량조。대조조40례급여상규서의치료，치료조40례재서의치료기출상급여중약관장화은행체막주사액치료。결과치료후，치료조총유효솔위92．50％，명현고우대조조적75．00％，량조비교차이구유통계학의의（ P＜0．05）；량조각항지표균명현저우치료전（P＜0．05）；치료조치료후적당화혈홍단백（HbAlc）、혈청기항（Cr）、내생기항청제솔（Ccr）、뇨백단백배설솔（UAE）、뇨소담（BUN）균명현저우대조조（P＜0．05）；량조치료후적공복혈당（FPG）、찬후2h혈당（2hPG）수평도명현강저（P＜0．05），차치료조명현저우대조조（P＜0．05）。결론여단순서의치료상비，중약관장연합은행체막주사액대조기당뇨병신병적치료효과경가，가유효개선신공능화혈당，치득추엄응용。
s:Objective To observe the clinical effect of traditional Chinese medicine enema combined with Yinxingdamo injection in treatmentofearlydiabeticnephropathy.Methods 80casesofearlydiabeticnephropathywererandomlydividedintotwogroups.40casesof control group were given conventional western medicine treatment, 40 cases of treatment group received traditional Chinese medicine enema combined with Yinxingdamo injection based on the control group.Results After treatment, the total effective rate was 92.50%in the treat-ment group, which was significantly higher than that of 75%in the control group, the difference was statistically significant (P<0.05);Cr, Ccr, UAE, BUN and HbAlc in the treatment group were significantly lower than those in the control group (P<0.05); two groups of pa-tients after treatment of FPG, 2 HPG levels were significantly decreased (P<0.05);the levels of FPG and 2hPG in the two groups were sig-nificantly decreased (P<0.05), and the treatment group was significantly lower than the control group (P<0.05).Conclusion Com-pared with western medicine, the effect of Chinese medicine enema combined with Yinxingdamo injection in treatment of early diabetic ne-phropathy is better, it can effectively improve the renal function and blood sugar, is worthy of popularization and application.
