中西医结合治疗老年人原发性肾病综合征临床观察

目的：观察中西医结合治疗老年人原发性肾病综合征（ＩＮＳ）的临床疗效。方法：８２例老年人ＩＮＳ患者随机分为治疗组和对照组。治疗组（４１例）有强的松和环磷酰胺（ＣＴＸ）并辨证加服中药，对照组（４１例）单纯用西药治疗。观察临床缓解率、副反应率、副发率及缓解时间。结果：治疗组完全缓解率（５８．５％）和总缓解率（８５．４％）均显著高于对照组（３９．０％、６３．４％，Ｐ〈０．０１）。治疗组副反应率（３６．６％

Clinical Observation of Elderly Idiopathic Nephrotic Syndrome Treated with Integrated Traditional Chinese and Western Medicine

OBJECTIVE: To observe the clinical effect of integrated traditional Chinese and western medicine (TCM-WM) in treating the elderly idiopathic nephrotic syndrome (INS). METHODS: Eighty-two patients of the elderly INS were randomly divided into the TCM-WM group and the control group. Forty-one patients of the TCM-WM group were treated with prednisone, Cytoxan (CTX) and Chinese medicinal herbs according to Syndrome-type, the other 41 patients of the control group were treated with WM alone. Clinical remission rate, adverse reaction, recurrence rate and remission period were observed. RESULTS: The complete remission rate and total remission rate of the TCM-WM group were 58.5% and 85.4%, significantly higher than those of the control group (39.0%, 63.4%, P < 0.01). The adverse reaction rate of the TCM-WM group (36.6%) was significantly lower than that of the control group (80.5%, P < 0.01). A follow-up of 35.1 +/- 9.7 months showed that there was no significant difference in the recurrence rate between two groups (P > 0.05), but the average remission period (30.6 +/- 3.8 months) of the TCM-WM group was significantly longer than that of the control group (12.7 +/- 3.7 months, P < 0.01). CONCLUSION: TCM-WM treatment is obviously superior to treatment with WM alone in increasing clinical remission rate, relieving adverse reaction rate and extending remission period.