首页|参地苓蓉汤加减治疗脾肾气虚型2型糖尿病肾病疗效观察

参地苓蓉汤加减治疗脾肾气虚型2型糖尿病肾病疗效观察

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目的:探讨参地苓蓉汤加减治疗脾肾气虚型 2 型糖尿病肾病的临床疗效.方法:选取扬州市江都中医院 2020年 6 月—2023 年 6 月收治的 80 例糖尿病肾病患者进行前瞻性分析,采取随机数字表法分为对照组 40 例,观察组 40例.对照组采取对症降压、降糖、降血脂与健康生活方式指导等治疗,观察组在对照组基础上增加参地苓蓉汤加减治疗.比较 2 组临床疗效,比较治疗前后中医证候积分变化,血肌酐(Blood creatinine,Scr)、尿素氮(Urea nitrogen,BUN)、胱抑素C(Cystatin C,CysC)相关肾功能指标变化以及血糖水平变化.结果:观察组治疗总有效率 95.00%高于对照组 75.00%(P<0.05);治疗后 2 组患者主症、次症相关中医证候积分均降低,观察组低于对照组(P<0.05);治疗后 2 组SCr、BUN、CysC水平均降低,观察组低于对照组(P<0.05);治疗后 2 组餐后 2h血糖、空腹血糖、糖化血红蛋白水平均降低,2 组比较无统计学意义(P>0.05).结论:参地苓蓉汤加减对脾肾气虚型 2 型糖尿病肾病治疗性效果显著,可改善患者中医相关症状,提升肾功能,同时能降低血糖水平.
the Curative Effect of Addition and Subtraction of Spleen and Kidney Qi Deficiency type 2 Diabetic Nephropathy and its Effect on Kidney Function
Objective:To explore the clinical efficacy of modified Shendi Lingrong decoction in the treatment of type 2 diabetic nephropathy of spleen and kidney qi deficiency type.Methods:A total of 80 patients with diabetic nephropathy admitted to Yangzhou Jiangdu Traditional Chinese Medicine Hospital from June 2020 to June 2023 were prospectively analyzed and randomly divided into a control group of 40 cases and an observation group of 40 cases.The control group was treated with symptomatic anti-hypertensive,hypoglycemic,hypolipidemic and healthy lifestyle guidance,while the observation group was treated with modified Shendi Lingrong decoction on the basis of the control group.The clinical efficacy of the two groups was compared,and the changes in TCM syndrome scores,renal function indicators related to blood creatinine(Scr),urea nitrogen(BUN),and cystatin C(CysC)and blood glucose levels before and after treatment were compared.Results:The total effective rate of the observation group was 95.00%,which was higher than that of the control group(75.00%)(P<0.05).After treatment,the scores of TCM syndromes related to the main and secondary symptoms of the two groups of patients were reduced,and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of SCr,BUN,and CysC in the two groups were reduced,and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of blood glucose 2h after meal,fasting blood glucose,and glycosylated hemoglobin in the two groups were reduced,and there was no statistical significance between the two groups(P>0.05).Conclusion:Shendi Lingrong Decoction has a signifi-cant therapeutic effect on type 2 diabetic nephropathy of spleen and kidney qi deficiency type,can improve the TCM-related symptoms of patients,enhance renal function,and can reduce the blood gluose level.

Shendi Lingrong DecoctionSpleen and kidney Qi deficiency typeType 2 diabetesType 2 diabetic ne-phropathyRenal functionBlood glucose level

李琴、郭彩慧、范建夏

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江苏省扬州市江都中医院 江苏 扬州 225200

参地苓蓉汤 脾肾气虚型 2型糖尿病 2型糖尿病肾病 肾功能 血糖水平

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)