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ID:33401499
大小:2.99 MB
页数:41页
时间:2019-02-25
《健脾益肾法治疗脾肾气虚型慢性肾小球肾炎的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、云南中医学院硕士学位论文健脾益肾法治疗脾肾气虚型慢性肾小球肾炎的临床研究姓名:鹿馨允申请学位级别:硕士专业:中医内科学指导教师:李琦201205中文摘要健脾益肾法治疗脾肾气虚型慢性肾小球肾炎的临床研究研究生:鹿馨允(中医内科学专业)导师:李琦教授(云南中医学院昆明650200)目的:观察以中医健脾益肾法治疗脾肾气虚型慢性肾炎的临床疗效。方法:将60例证属脾肾气虚型慢性肾小球肾炎患者,随机分为2组。对照组30例,在一般治疗基础上,予利尿、控制血压、应用糖皮质激素、抗凝、调节水电解质及酸碱平衡等对症治疗;试验组
2、30例,在对照组常规治疗的基础上,用健脾益肾法自拟中药汤剂并随证加减治疗,一剂/日,~剂药煎三次,三次药汁合兑600m1,每日服药三次,每次200m1,早中晚饭后分服。30天为一疗程,观察2个疗程。观察治疗前后24h尿蛋白定量、尿红细胞、尿蛋白、中医临床症状的变化情况。结果:1、64例慢性肾炎证属脾肾气虚型的患者,3例被剔除,1例脱落,60例纳入本研究,收集完成的病例与脱落病例的数目无统计学上的差异(p>O.05);2、两组患者在年龄、性别、病程及治疗前血压、尿蛋白、血尿、24小时尿蛋白定量、中医证候评分等
3、临床一般性资料方面无显著性差异;3、经过治疗后,试验组总有效率为83.33%,对照组总有效率为70.00%,两组比较有显著差异(P<0.05);4、经治疗后,两组均能改善患者腰脊酸痛、浮肿、尿频的中医临床症状,并且不同程度的降低尿蛋白、血尿、24小时尿蛋白定量,但试验组总的疗效优于对照组(P<0.05或P4、脾益肾法治疗脾肾气虚型慢性肾小球肾炎的临床研究ClinicalRe}searchonChronicGlomerulonephritiswithSpleenandKidneyQiDeficiencySyndromeTreatedbyStrengtheningSpleenandTonifyingKidneyPostgraduate:LuXin——yun(traditionalChineseinternalmedicine)Supervisor:ProfessorLiOi(YunnanTraditionalChi5、neseMedicineUniversity,Kunming650200)AbstractObjective:ToobservetheclinicalefficacyonchronicnephritiSwithspleenandkidneyQideficiencysyndrometreatedbystrengtheningspleenandtonifyingkidneyinTCM.Methods:60casesofchronic910merulonephritiSpatientwithspleenandki6、dneyQideficiencysyndromewererandomlydividedintotwogroups.Thecontr019roupwith30patientsonthebasiSofgeneraltreatmentwhichwereacceptedthe—western—medicine—insymptomatictreatment—as—diuretic,blood—pressure—control,cocomicoids,anticoagulant,regulatingwater—elec7、trolyteandacid—basebalance,whilethetreatmentgroupwith30patientsonthebasisofconventionaltreatmentinthecontrolgroupwere—’treated-withJianPiYidecoctionbyuse,onedoseadayandfriedthreetimesthenmixedtogetheras600ml,medicationthreetimesdailywith200mleachtimeaftert8、hebreakfast,lunchanddinnerrespectivelyandonemonthasatreatingcourse.TCMclinicalsymptoms,urineredbloodcells,proteinuria,and24hurinaryproteinchangesbeforeandaftertreatmenthasbeenobservedintwocourses.Results:1.64
4、脾益肾法治疗脾肾气虚型慢性肾小球肾炎的临床研究ClinicalRe}searchonChronicGlomerulonephritiswithSpleenandKidneyQiDeficiencySyndromeTreatedbyStrengtheningSpleenandTonifyingKidneyPostgraduate:LuXin——yun(traditionalChineseinternalmedicine)Supervisor:ProfessorLiOi(YunnanTraditionalChi
5、neseMedicineUniversity,Kunming650200)AbstractObjective:ToobservetheclinicalefficacyonchronicnephritiSwithspleenandkidneyQideficiencysyndrometreatedbystrengtheningspleenandtonifyingkidneyinTCM.Methods:60casesofchronic910merulonephritiSpatientwithspleenandki
6、dneyQideficiencysyndromewererandomlydividedintotwogroups.Thecontr019roupwith30patientsonthebasiSofgeneraltreatmentwhichwereacceptedthe—western—medicine—insymptomatictreatment—as—diuretic,blood—pressure—control,cocomicoids,anticoagulant,regulatingwater—elec
7、trolyteandacid—basebalance,whilethetreatmentgroupwith30patientsonthebasisofconventionaltreatmentinthecontrolgroupwere—’treated-withJianPiYidecoctionbyuse,onedoseadayandfriedthreetimesthenmixedtogetheras600ml,medicationthreetimesdailywith200mleachtimeaftert
8、hebreakfast,lunchanddinnerrespectivelyandonemonthasatreatingcourse.TCMclinicalsymptoms,urineredbloodcells,proteinuria,and24hurinaryproteinchangesbeforeandaftertreatmenthasbeenobservedintwocourses.Results:1.64
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