首页|肾宝片治疗肾阳虚证患者的临床研究

肾宝片治疗肾阳虚证患者的临床研究

扫码查看
目的 评价肾宝片治疗肾阳虚证患者的临床疗效性及安全性.方法 肾阳虚证患者均接受肾宝片治疗:口服,1次3片,1 日 3次,根据病情分为56 d治疗组(连续治疗56 d)和84 d治疗组(连续治疗84 d).通过比较2组患者治疗前后临床疗效、症状评分变化、证候积分变化、症状缓解时间等,评估肾宝片治疗肾阳虚证的有效性;通过药物不良反应评价其安全性.结果 56 d治疗组339例,84 d治疗组345例.治疗后,56 d治疗组和84 d治疗组的临床有效率分别为91.74%和97.97%,差异有统计学意义(P<0.05).2组的显效率分别58.41%和59.13%,临床控制率分别为18.58%和27.54%,进步率分别为14.75%和11.30%.治疗后,2组内肾阳虚证的症状评分均有显著减少(P<0.05),56 d治疗组和84 d治疗组的夜尿评分分别为(0.89±1.27)和(0.60±1.03)分,腰部酸痛评分分别为(1.31±1.19)和(0.72±1.00)分,五更泻评分分别为(0.28±0.74)和(0.19±0.61)分,性欲低下评分分别为(0.65±1.13)和(0.53±0.98)分,精神萎靡评分分别为(0.29±0.81)和(0.08±0.40)分,畏寒肢冷评分分别为(1.09±1.20)和(0.55±0.93)分,水肿评分分别为(0.14±0.55)和(0.05±0.30)分,面色晄白评分分别为(0.20±0.59)和(0.24±0.65)分.2组间各症状评分减少值差异在统计学上均有统计意义(P<0.05);56 d治疗组畏寒肢冷评分减少比84 d治疗组更加明显;其余症状评分均是84 d治疗组减少更加明显.治疗后,2组的肾阳虚证积分较治疗前均显著低于治疗前(均P<0.05);56d治疗组和84 d治疗组积分变化率分别(-72.33±24.57)%和(-78.77±19.53)%,在统计学上差异有统计学意义(P<0.05).56 d治疗组和84 d治疗组患者自述首次症状缓解时间分别为(14.85±7.18)和(14.10±7.78)d,在统计学上差异无统计学意义(P>0.05).肾宝片的药物不良反应发生率为5.37%,主要体现为肝胆系统疾病、胃肠道系统疾病及各类检查异常.结论 服用肾宝片2~3个月后,肾阳虚的临床症状均有较好改善,且治疗3个月对肾阳虚证的症状改善更显著;肾宝片的安全性良好.
Clinical study of Shenbao tablet in the treatment of kidney-yang deficiency syndrome
Objective To evaluate the efficacy and safety of Shenbao tablet in the treatment of kidney-yang deficiency syndrome.Methods Patients with kidney-yang deficiency syndrome,will were treated with Shenbao Tablets orally,3 tablets once,3 times a day,and the course of treatment was 56 days or 84 days,depending on the condition.By comparing the clinical efficacy,the changes of symptom scores and syndrome scores before and after treatment,and symptoms remission time,the effectiveness of Shenbao tablet in the treatment of kidney-yang deficiency syndrome was evaluated.The safety was evaluated by adverse reactions.Results There were 339 patients in the 56-day group and 345 patients in the 84-day group.After treatment,the clinical effective rates of the 56-day group and the 84-day group were 91.74%and 97.97%,respectively,and the difference was statistically significant(P<0.05).In the 56-day group and the 84-day group,the excellent rate were 58.41%and 59.13%,clinical control rates were 18.58%and 27.54%,and the progress rates were 14.75%and 11.30%,respectively.After treatment,the symptom scores of kidney-yang deficiency syndrome were significantly reduced respectively within both groups(P<0.05).In the 56-day group and the 84-day group,the nocturia scores of were 0.89±1.27 and 0.60±1.03,the soreness of waist scores were 1.31±1.19 and 0.72±1.00,the morning diarrhea scores were 0.28±0.74 and 0.19±0.61,the anaphrodisia scores were 0.65±1.13 and 0.53±0.98,the low spirits scores were 0.29±0.81 and 0.08±0.40,the cold limbs score were 1.09±1.20 and 0.55±0.93,the edema scores were 0.14±0.55 and 0.05±0.30,the bright pale complexion scores were 0.20±0.59 and 0.24±0.65,respectively.There were significant differences in the reduction of each symptom score between the two groups(P<0.05);the 56-day group had a more significant decrease in the score of cold limbs than the 84-day group.The remaining symptom scores decreased more significantly in the 84-day group.After treatment,the syndrome scores of kidney-yang deficiency syndrome in the two groups were significantly lower than those before treatment(all P<0.05);the change rates of score in the 56-day group and the 84-day group were(-72.33±24.57)%and(-78.77±19.53)%,respectively,and the difference was statistically significant(P<0.05).The self-reported time to first symptom relief was(14.85±7.18)days in the 56-day group and(14.10±7.78)days in the 84-day group,with no significant difference(P>0.05).The incidence of adverse reactions of Shenbao tablets was 5.37%,mainly reflected in hepatobiliary system diseases,gastrointestinal system diseases and various examination abnormalities.Conclusions After taking Shenbao tablets for 2 to 3 months,the clinical symptoms of kidney-yang deficiency were better improved,and the improvement was more significant after 3 months of treatment.The security of Shenbao Tablets was good.

Shenbao tabletkidney-yang deficiency syndromeefficacysafety

李秀典、程平、曹喆、华琼、蒙向欣、周青罡

展开 >

黑龙江中医药大学附属二院肾病科,黑龙江哈尔滨 150001

北京兴德通医药科技股份有限公司,北京 100028

河南省中医研究院附属医院肾病科,河南郑州 450003

广州医科大学附属中医医院肾内科,广东广州 510130

江西汇仁药业股份有限公司,江西南昌 330052

展开 >

肾宝片 肾阳虚证 有效性 安全性

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(4)
  • 9