补中益气丸合阿胶黄精丸治疗气阴两虚型隐匿性肾炎36例临床疗效观察

补中益气丸合阿胶黄精丸治疗气阴两虚型隐匿性肾炎36例临床疗效观察 Clinical observation on treating 3 6 cases of Qi and Yin Deficiency type latent glomerulonephritis by Bu zhong Yiqi pills plus Liuwei Dihuang pills 黄忠实 (湖南省靖州县人民医院妇科) 中图分类号:R692.3+1 文献标识码:A 文章编号: 1674.7860(2012)22.0068.02 证型:DBG 【摘要】目的:探讨分析补中益气丸合阿胶黄精丸治疗隐匿性肾炎的临床疗效。方法:选取我院于2001年4月~20l1年3月收治的72例隐匿性肾炎患者,随机分成对照组与实验组,两组人数均为36人。对照组接受补中益气丸治疗,实验组接受补中益气合阿胶黄精丸治疗,观察其临床疗效。结果:对照组与实验组治疗前后的差值比较均有显著性差异(P<0.05),所有患者所接受的治疗均有较为明显的效果。对照组临床控制9例,显效8例,有效7例,无效12例,总有效率66.7%:实验组临床控制12例,显效10例,有效9例,无效5例,总有效率86.1%,两组患者的差值比较均有显著性差异(P<0.05),实验组明显优于对照组。结论:补中益气丸合阿胶黄精丸治疗隐匿性肾炎疗效显著,在临床上值得推广。 【关键词】补中益气丸;阿胶黄精丸;隐匿性肾炎;临床疗效观察[Abstract]Objective:To investigate the clinical efect of Buzhong Yiqi pills plus Liuwei Dihuang pills in treating latent glomerulonephritis.Methods:72 patients with latent glomerulonephritis came to our hospiml during April 2001 to March 201 1 were randomly divided into the control group and the experimental group.There were 36 patients in each group.The control group was treated with Buzhong Yiqi pills while the experimental group was treated by Buzhong Yiqi pills plus Liuwei Dihuang pills.The clinical efects of the two groups were observed.Results:The diference between the before and after treatment of the control group and the experimental group was statisticaly significant(P<0.05)and all the cases all obviously efective.9 cases of the control group were clinicaly controled, 8 cases were obviously efective,7 cases were efective,12 cases were invalid,the efective rate was 66.7%;12 cases ofthe control group were clinically controlled,10 cases were obviously efective,9 cases were efective,5 cases were invalid,the efective rate was 86.1%.The diference between the control group and the experimental group was statistically significant rP<0.05)and the experimental group was obviously better than the control group.Conclusion:Buzhong Yiqi pills plus Liuwei Dihuang pills has a significant efect in treating latent glomerulonephritis and it is worthy ofthe promotion in the clinical work. [Keywords]Buzhong Yiqi pils;Liuwei Dihuang pils;Latent glomerulonephritis;Clinical observation doi:1 0.3969/j.issn.1 674-7860.20 12.22.039 隐匿性。肾炎是原发性肾小球肾炎中最常见的类型之一,且较难治愈【”,患者无任何明显的肾脏病的症状与体征,但 表 关于同志近三年现实表现材料材料类招标技术评分表图表与交易pdf视力表打印pdf用图表说话 pdf 现为反复持续性的蛋白尿与血尿,部分患者有轻微的非典型症状【2】。但是若不给予及时有效的治疗,肾脏会发生不可逆的病理变化,并发展成为终末期肾脏病【3J。我院于2001年4月~2011 年3月收治的72例隐匿性肾炎患者,对补中益气丸合阿胶黄精丸治疗隐匿性肾炎的临床疗效进行探讨分析, 报告 软件系统测试报告下载sgs报告如何下载关于路面塌陷情况报告535n,sgs报告怎么下载竣工报告下载 如下。 1材料与方法 1.1一般资料 选取我院于2001年4月~2011年3月收治的72例隐匿性肾炎患者,所有患者均无水肿、高血压及肾功能损害,而仅表现为肾小球源性血尿和(或)蛋白尿。将所有患者随机分成实验组与对照组,两组患者均为36例,实验组男16例,女20 例,平均年龄(42.5±1.8)岁;对照组男14例,女22例,平均年龄(43.1±2.3)岁,两组患者的一般情况比较差异均无统计学意义(P>0.05),具有可比性。1.2方法 1.2.1对照组 接受补中益气丸(生产厂家:北京同仁堂科技发展有限公司国药准字号:Z11020244)治疗。方剂组成:炙黄芪200g,党参60g,炙甘草100g,白术60g,当归60g,升麻60g,柴胡60g,陈皮60g,另取生姜20g, 大枣40g,加水煎煮2次并滤过,用煎液泛丸干燥,制成水丸,每100粒重6g,1次口服1 袋,1日2~3次,3个月为1个疗程。 1.2.2实验组 CJCM中医临床研究2012年第4卷第22期.69.接受与对照组完全相同的补中益气丸治疗,另接受阿胶黄精丸(洛阳君山制药有限公司)治疗。一日三次,每次20粒,饭后服用。 1.3评价 标准 excel标准偏差excel标准偏差函数exl标准差函数国标检验抽样标准表免费下载红头文件格式标准下载 ①临床控制:尿沉渣或尿常规检查红细胞计数正常,24h尿蛋白定量正常或尿蛋白转阴性;②显效:尿沉渣或尿常规检查红细胞减少数量大于或等于40%或3个/Hp,24h尿蛋白定量减少大于40%或尿常规检查尿蛋白减少大于等于++;③有效:尿沉渣或尿常规检查红细胞减少数量小于40%或3个/Hp;24h 尿蛋白定量减少小于40%或尿常规检查尿蛋白减少小于++;④无效:患者尿液中的红细胞及蛋白量无减少或加重。总有效率为临床控制率、显效率、有效率之和。 1.4统计学方法 采用SPSS16.0软件进行统计分析,两组数据间计量资料使用t检验,计量资料采用卡方检验,检验标准为O.05,当P