首页|温阳健脾方治疗脾肾阳虚型慢性肾脏病3~4期蛋白尿的临床研究

温阳健脾方治疗脾肾阳虚型慢性肾脏病3~4期蛋白尿的临床研究

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目的:观察温阳健脾方对脾肾阳虚型CKD3~4期蛋白尿的临床疗效.方法:选择2022年1月-2022年12月收治的70例符合中医脾肾阳虚证诊断的CKD3~4期患者,随机分成观察组与对照组,每组各35例.对照组为基础治疗(包括营养疗法、控制血压、调理血糖血脂、纠正贫血及电解质紊乱等);观察组在对照组常规治疗上加服中药温阳健脾方,总疗程为12周,观察两组患者的中医临床症候积分、临床总有效率、24 h尿蛋白定量.结果:观察组总有效率达到91.17%,显著高于对照组64.70%;两组患者的中医症候积分值较治疗前均明显降低(P<0.01或P<0.05);观察组24 h尿蛋白定量、尿微量白蛋白、肾小球滤过率估计值差异均有统计学意义(P<0.01或P<0.05).结论:中药温阳健脾方对脾肾阳虚型CKD患者具有改善临床症状、降低尿蛋白排泄、保护肾脏功能等作用,延缓了CKD进展,显示了较好的临床疗效.
Clinical Study of Wenyang Jianpi Prescription Treating Stage 3-4 Albuminuria of Spleen-kidney Yang Deficiency Type Chronic Kidney Disease
To observe the clinical efficacy of Wenyang Jianpi Formula on CKD3~4 proteinuria of spleen kidney yang deficiency type. Methods:70 patients with chronic kidney disease in stages 3~4 who met the diagnosis of spleen and kidney yang deficiency in traditional Chinese medicine and were admitted from January 2022 to December 2022 were randomly divided into an observation group and a control group,with 35 cases in each group. The control group received basic treatment ( including nutritional therapy,blood pressure control,blood glucose and lipid regulation,correction of anemia and electrolyte disorders,etc. );The obser-vation group took the traditional Chinese medicine Wenyang Jianpi formula in addition to the conventional treatment in the control group,with a total course of 12 weeks. The clinical symptom scores,clinical total effective rate,and 24-hour urine protein quantifi-cation of the two groups of patients were observed. Results:The total effective rate of the observation group reached 91.17%,signifi-cantly higher than the 64.70% effective rate of the control group;The integral values of traditional Chinese medicine symptoms in both groups of patients were significantly lower than before treatment (P<0.01 or P<0.05);The 24-hour urine protein quantifica-tion,urinary microalbumin,and estimated glomerular filtration rate in the observation group were all statistically significant (P<0.01 or P<0.05). Conclusion:The traditional Chinese medicine Wenyang Jianpi Formula has the effects of improving clinical symptoms,reducing urinary protein excretion,protecting renal function in patients with chronic kidney disease of spleen kidney yang deficiency type. It has delayed the progression of CKD and demonstrated good clinical efficacy.

Chronic kidney diseasePrescription for warming the kidney and strengthening the spleenProteinuriaClinical research

王君红、王晓婷、张晓楠、刘春光、崔云

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哈尔滨市中医医院 哈尔滨 150070

黑龙江省中医药科学院 哈尔滨 150001

慢性肾脏病 温阳健脾方 蛋白尿 临床研究

2024

中国中西医结合肾病杂志
中国中西医结合学会

中国中西医结合肾病杂志

CSTPCD
影响因子:1.061
ISSN:1009-587X
年,卷(期):2024.25(10)