中药消白汤治疗妊娠高血压综合征产褥期蛋白尿临床观察

目的 观察中药消白汤对妊娠高血压综合征产褥期蛋白尿的影响。方法 85例患者均接受常规治疗（用硫酸镁解痉降压），治疗组同时以消白汤为主方，并随症加减治疗；对照组只接受常规治疗；两组均治疗14天，治疗期间每3天查尿常规（中段尿），每周作24h尿蛋白量测定。结果治疗组43例。显效11例（25．6％），有效26例（60．5％），无效6例（14．0％），总有效率为86．0％。对照组42例。分别为5例（11．9％）、21例（50．0％）、16例（38．1％）和61．9％。治疗组总有效率高于对照组（P〈0．05）。结论 消白汤能减少尿蛋白，缩短蛋白尿持续时间，是一种简单、有效和安全的方药。

Clinical Observation on Treatment of Albuminuria in Patients with Pregnancy-induced Hypertension Syndrome in Puerperium by Xiaobai Decoction

Objective To observe the effects of Xiaobai Decoction(XBD)in reducing albuminuria and shortening the duration of albuminuria in patients with pregnancy-induced hypertension syndrome(PIH)in puerperium.Methods Eighty-five patients were given the conventional treatment with magnesium sulfate for relieving convulsion and lowering hypertension,at the same time,the treated group was given XBD additionally with the modification according to the symptoms.The treatment course for both groups was 14 days.Routine test of midstream urine was performed every three days,and 24 h-urinary protein was measured every week.Results The therapeutic effect on the 43 patients of the treated group was markedly effective in 11(25.6%),effective in 26(60.4%)and ineffective in 6 cases(14.0%),the total effective rate being 86.0%;while in the 42 patients of the control group,the corresponding numbers were 5(11.9%),21(50.0%),16(38.1%)and 61.9%,respectively,the efficacy of the former was significantly better(P<0.05).Conclusion XBD is a simple,safe and effective drug for reducing albuminuria and shortening the duration of albuminuria in puerperium of PIH patients.