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益肾汤口服联合活肾散外敷治疗糖尿病肾病的临床研究
引用本文:余海源,王卫平,张颖,于文娟,谭咏芳,刘春娜,宫振翠,冯山丹. 益肾汤口服联合活肾散外敷治疗糖尿病肾病的临床研究[J]. 中国中西医结合肾病杂志, 2010, 11(5): 424-426
作者姓名:余海源  王卫平  张颖  于文娟  谭咏芳  刘春娜  宫振翠  冯山丹
作者单位:山东省烟台市中医院肾内科,烟台,264000
基金项目:山东省中医药科技发展计划项目(No.2007-193)
摘    要:目的:探讨益肾汤口服联合活肾散外敷治疗糖尿病肾病的临床疗效。方法:将经过4周调整阶段治疗后符合临床试验要求的92例辨证为脾肾气(阳)虚、瘀血阻络的糖尿病肾病患者随机分为治疗组(45例)和对照组(47例),治疗组在基础治疗的同时给予益肾汤口服合并肾俞穴外敷活肾散,对照组在基础治疗的基础上加用洛汀新10mg每日1次治疗,两组均观察2个疗程(8周)。观察临床症状体征的变化,并对肾功能、血脂、血液流变学、尿白蛋白排泄率或24h尿蛋白定量等指标进行观察。结果:89例进入统计分析,治疗组44例,对照组45例,治疗组治疗后主要症状、中医证候疗效及综合总疗效均明显优于对照组(P〈0.01或P〈0.05);治疗组有更好的降低尿蛋白、调整血脂(HDL-C、LDL-C)及血液流变学各指标的作用(P〈0.01或P〈0.05);治疗组经治疗后,胱抑素较治疗前有所下降(P〈0.05),治疗组无不良反应发生。结论:益肾汤口服联合活肾散外敷治疗糖尿病肾病是有效且安全的。

关 键 词:益肾汤  活肾散  穴位敷贴疗法  糖尿病肾病  临床研究

Clinical Observation on Therapeutic Effects of Combination of"yishentang" and "huoshensan" in Treating Diabetic Nephropathy
YU Haiyuan,WANG Weiping,ZHANG Ying,et al. Clinical Observation on Therapeutic Effects of Combination of"yishentang" and "huoshensan" in Treating Diabetic Nephropathy[J]. Chinese Journal of Integrated Traditional and Western Nephrology, 2010, 11(5): 424-426
Authors:YU Haiyuan  WANG Weiping  ZHANG Ying  et al
Abstract:Objective:To observe the effct of Combination of yishentang and huoshensan in Treating the third or forth stage of Diabetic Nephropathy.Methods:Ninty-two patients with DN (the syndrome of spleen and kidney qi-yang deficiency,blood stasis ) who met the criteria were selected and randomly divided into the treatment group(45 cases) of yishentang and huoshensan with basic treating and the control group (47 cases)of Novartis with basic treating.The observation last 8 weeks after adjusting 4 weeks.The observing i...
Keywords:Yishentang Huoshensan Therapy of point appliation Diabetic nephropathy Clinical research  
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