芪黃益腎湯治療72例慢腎衰患者的臨床觀察

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1、芭黃益腎湯治療72例慢腎哀患者的臨床觀1.威海中醫(yī)院腎病科山東威海264200；2.威海市立醫(yī)院腎病科山東威海264200摘要：目的：觀察芪黃益腎湯治療慢腎袞脾腎氣虛證患者的臨床療效。方法：72例慢性腎功能衰竭屬脾腎氣虛證患者隨機(jī)分為治療組和對(duì)照組，治療組36例，對(duì)照組36例。在一般對(duì)癥治療基礎(chǔ)上，治療組給予芪黃益腎湯口服,對(duì)照組給予海昆腎喜膠囊U服，療程為2個(gè)月，觀察兩組治療前后中醫(yī)證候積分、血肌酐變化。結(jié)果：治療組總有效率為86.11%，對(duì)照組總有效率為69.45%,兩組差異有統(tǒng)計(jì)學(xué)意義(P&l

2、t;0.05)；治療組治療前后血肌酐降低，兩者治療前后差異均有統(tǒng)計(jì)學(xué)意義(P<0.05),與對(duì)照組治療前后變化比較也有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論：芪黃益腎湯具有降低血肌酐、改善臨床癥狀的作用，治療慢性腎衰竭只有一定優(yōu)勢(shì)。關(guān)鍵詞：芪黃益腎湯；慢性腎袞竭臨床觀察ObservetheClinicalEfficacyof"Qihuangyishendecoction"on72CasesofPatientswithChronicRenalFailureTongNingnigl，YuShuju

3、nl，Diao丫ajunl,ZhouShanshanl，HaoJunling2(1.Departmentofnephropathy,WeihaiHospitalofTraditionalChineseMedicine,ShandongProvince，Weihai,2642002.Departmentofnephropathy，WeihaiMunicipalHospital,ShandongProvince,Weihai,264200)ABSTRACTObjective：Toobservethecl

4、inicalefficacyofpatientswithchronicrenalfailurebeforeandaftertreatmentby“Qihuangyishendecoction’，.Method：Collected72casesofrchronicrenalfailuremettheadmissioncriteria，anddividedintotreatmentgroup(36cases)andcontrolgroup(36cases)randomly.Onthebasisofgen

5、eralsymptomatictreatment,treatmentgroupwastreatedwith“Qihuangyishendecoction”fortwomonths，whilethecontrolgroupwastreatedwith“HaikunshenxiCapsules’，.ObservedthechangeofsymptomscoresoftraditionalChinesemedicineandcreatininebeforeandaftertreatment.Results

6、：Thetotaleffectiverateinthetreatmentgroupwas86.11%，whilehecontrolgroupwas69.45%,sothedifferencewasstatisticallysignificant/P<0.05).Serumcreatininewasloweraftertreatmentinthetreatmentgroup,thedifferencewasstatisticallysignificant/P<0.05).Thechangeofs

7、erumcreatininebeforeandaftertreatmentincomparisonwiththecontrolgrouptherewasstatisticallysignificant(P<0.05).Conclusion：“Qihuangyishendecoction”haslowerserumcreatinineandimprovedtheclinicalefficacy.Thetreatmentofchronicrenalfailurehascertainadvantag

8、es.KeyWords：qihuangyishendecoction；chronicrenalfailure；clinicalcbservation慢性腎衰竭是臨床的常見(jiàn)病、疑難病，自然人群的發(fā)病率為50/100萬(wàn)人-200/100萬(wàn)人，近年來(lái)每年平均以8%的速度增長(zhǎng)，我國(guó)南京軍區(qū)總醫(yī)院的流行病學(xué)調(diào)査及臨床研究顯示，慢性腎衰竭的發(fā)病率約為568/100萬(wàn)，在人類(lèi)死亡原因中占第5-9位［1］。因其患病率高、致殘率高、醫(yī)療費(fèi)用高，臨床多提倡早期干預(yù)治療，堅(jiān)持病因治療，避免