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中西医结合治疗糖尿病肾病水肿临床心得
引用本文:姜晓琳,张兰.中西医结合治疗糖尿病肾病水肿临床心得[J].辽宁中医学院学报,2013(5):222-223.
作者姓名:姜晓琳  张兰
作者单位:[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032
摘    要:简要阐述糖尿病肾病后期出现双下肢水肿的病因病机,作者根据临床经验,并结合典型病案分析,认为该期辨证属脾肾阳虚型,采取中西医结合治疗。中医治疗予以温阳利水、标本兼治之五皮饮合实脾饮加减,西医辅予控制血糖、血压、血脂及蛋白质摄入,能够缓解水肿,较少蛋白尿,从而保护肾脏,使病情得到有效的控制。

关 键 词:水肿  糖尿病肾病  心得

Clinical Experience on Combining Traditional Chinese and Western Medicine Treatment of Diabetic Nephropathy Edema
JIANG XiaolinI,ZHANG Lan.Clinical Experience on Combining Traditional Chinese and Western Medicine Treatment of Diabetic Nephropathy Edema[J].Journal of Liaoning College of Traditional Chinese Medicine,2013(5):222-223.
Authors:JIANG XiaolinI  ZHANG Lan
Institution:1.Liaoning University of Traditional Chinese Medicine, Shenyang 110847, Liaoning, China; 2.Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning, China )
Abstract:This paper briefly expounds the pathogeny and pathogenesis of double legs edema due to diabetic nephropathy in advanced stage, according to the clinical experience, and combined with typical case analysis, it thinks this period is spleen and kidney Yang deficiency, and the combination of TCM and western medicine therapy should be used. To warm yang and induce diuresis, Wupiyin together with Shipiyin should be used, western medicine is to control blood glucose, blood pressure, blood fat and protein intake, so as to alleviate edema, reduce proteinuria and protect kidney, and control the disease development.
Keywords:edema  diabetic nephropathy  result
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