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长期应用清热利湿和络法对慢性肾炎患者蛋白尿变化的影响
引用本文:邹玺,熊宁宁.长期应用清热利湿和络法对慢性肾炎患者蛋白尿变化的影响[J].中医杂志,2004,45(4):266-269.
作者姓名:邹玺  熊宁宁
作者单位:1. 南京中医药大学2003级博士研究生,南京市鼓楼区湘江路18号长江之家
2. 南京中医药大学附属医院国家中药临床试验研究中心
摘    要:目的:观察评价清热利湿和络法长期治疗对慢性肾炎蛋白尿变化的影响,分析肾功能、血压、蛋白尿程度、中医证型对该法疗效的影响,分析在清热利湿和络法的基础上加用小剂量雷公藤治疗慢性肾炎蛋白尿的指征与效果.方法:观察43例慢性肾炎患者使用清热利湿和络法治疗1年的疗效.结果:慢性肾炎患者使用清热利湿和络法治疗1年后蛋白尿有明显改善.结论:清热利湿和络法长期治疗对于慢性肾炎蛋白尿是有效的,加用雷公藤有助于控制蛋白尿,肾功能异常者和伴高血压者的蛋白尿治疗效果较差,湿热深蕴于肾是慢性肾炎湿热证的病理特点之一.

关 键 词:肾炎/中医药疗法  清热祛湿  清热利湿和络法

Effect of Long-term Treatment with Removing Heat and Dampness and Regulating Collateral Method on Urinary Protein in Patients of Chronic Nephritis
Zou Xi,Xiong Ningning Nanjing University of TCM. Nanjing.Effect of Long-term Treatment with Removing Heat and Dampness and Regulating Collateral Method on Urinary Protein in Patients of Chronic Nephritis[J].Journal of Traditional Chinese Medicine,2004,45(4):266-269.
Authors:Zou Xi  Xiong Ningning Nanjing University of TCM Nanjing
Institution:Zou Xi,Xiong Ningning Nanjing University of TCM. Nanjing 210036
Abstract:Objective: To observe effect of long-term treatment with removing heat and dampness and regulating collateral method on urinary protein in the patient of chronic nephritis. Methods: 43 cases of chronic nephritis were treated by removing heat and dampness and regulating collateral method for one year and the therapeutic effect was observed. Results: Proteinuria was obviously improved in the patient of chronic nephritis. Conclusion: The removing heat and dampness and regulating collateral method is effective for chronic proteinuria in the patient of chronic nephritis. Tripterygium Wilfordii is beneficial to control of proteinuria.
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