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《益氣養(yǎng)陰活血通絡(luò)法聯(lián)合纈沙坦治療早期糖尿病腎病臨床觀察》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、目錄中文摘要······································································································1英文摘要······································································································3英文縮寫···············································
2、·······················································5研究論文益氣養(yǎng)陰活血通絡(luò)法聯(lián)合纈沙坦治療早期糖尿病腎病前言······································································································6資料與方法··········································································
3、···············7結(jié)果······································································································10附表······································································································12討論·····································
4、·································································16結(jié)論······································································································21參考文獻··························································································
5、·22綜述一糖尿病腎病中西醫(yī)治療進展··························································25綜述二糖尿病腎病的現(xiàn)代醫(yī)學(xué)研究進展··················································29致謝······································································································36個人簡歷··········
6、····························································································37益氣養(yǎng)陰活血通絡(luò)法聯(lián)合纈沙坦治療早期糖尿病腎病臨床觀察摘要目的：觀察應(yīng)用益氣養(yǎng)陰化瘀通絡(luò)的中藥組方聯(lián)合纈沙坦，治療早期糖尿病腎病的療效。為臨床治療早期糖尿病腎病提供借鑒和參考。方法：收集2016年6月-2017年6月北京燕化醫(yī)院內(nèi)分泌門診的80例早期糖尿病腎病患者。應(yīng)用隨機數(shù)字表隨機分為二組，兩組均予以降糖、降脂、降壓等基礎(chǔ)治療，對照組：基礎(chǔ)治
7、療上加用纈沙坦治療。試驗組：基礎(chǔ)治療上應(yīng)用中藥益氣養(yǎng)陰活血通絡(luò)加纈沙坦治療。所有病例治療8周，檢測治療前后糖化血紅蛋白、尿微量白蛋白定量、血脂、腎功及中醫(yī)癥狀評分，以評價中西醫(yī)結(jié)合治療早期糖尿病腎病的療效。結(jié)果：應(yīng)用中醫(yī)證候量表，觀察兩組的癥狀積分改變，結(jié)果顯示：試驗組的臨床癥狀的減輕顯效率為32.5%，有效率37.5%，總有效率70%，對照組臨床癥狀的減輕顯效率5%，有效率37.5%，總有效率42.5%，兩組總有效率經(jīng)卡方檢驗，P<0.05，差異有統(tǒng)計學(xué)意義。兩組患者經(jīng)治療8周后，結(jié)果顯示：尿微量白蛋白的減少。試驗組顯效率為7
8、0%，有效率為20%，總有效率為90%；對照組顯效率為32.5%，有效率為35%，總有效率為67.5%，兩組總有效率經(jīng)卡方檢驗，P<0.05,差異有統(tǒng)計學(xué)意義。治療前后血脂方面，試驗組總膽固醇達標(biāo)率試驗組為62.5%，對照組為30%，兩組達標(biāo)率經(jīng)卡方檢驗，P<0
