首页|参芪地黄汤对气阴两虚型慢性肾小球肾炎患者的效果分析

参芪地黄汤对气阴两虚型慢性肾小球肾炎患者的效果分析

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目的:观察在气阴两虚型慢性肾小球肾炎患者中,应用参芪地黄汤的效果。方法:选取 2021 年 2 月—2023 年2月泰宁县中医院收治的 81 例气阴两虚型慢性肾小球肾炎患者。根据不同治疗方式分为观察组 40 例给予参芪地黄汤加减治疗,对照组 41 例给予常规西医治疗,观察两组治疗效果,肾功能指标[血肌酐(Scr)、血尿素氮(BUN)、24 h尿蛋白定量(24 h-Upro)、尿微量白蛋白(MALB)],免疫功能指标[免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、T淋巴细胞CD4+、CD8+、CD4+/CD8+],血清炎症因子[白细胞介素 6(IL-6)、白细胞介素 8(IL-8)、超敏C反应蛋白(hs-CRP)]水平。结果:观察组总有效率(95。00%)明显较对照组总有效率(78。05%)高,差异有统计学意义(P<0。05)。治疗前,两组BUN、Scr、MALB、24 h-Upro、IgA、IgG、CD4+、CD8+、CD4+/CD8+、IL-6、IL-8、hs-CRP水平对比,差异无统计学意义(P>0。05)。观察组治疗后BUN、Scr、MALB、24 h-Upro、IgA、CD8+、IL-6、IL-8、hs-CRP水平均较对照组低,差异有统计学意义(P<0。05);观察组治疗后IgG、CD4+、CD4+/CD8+水平较对照组高,且组间差异有统计学意义(P<0。05)。结论:在气阴两虚型慢性肾小球肾炎中,参芪地黄汤的治疗效果显著,不仅能改善肾功能和免疫功能指标,还能降低血清炎症因子水平。
Effect of Shenqi Dihuang Decoction on Patients with Chronic Glomerulonephritis
Objective:The effect of Shenqi Dihuang soup on patients with chronic glomerulonephritis was observed.Method:81 patients with chronic glomerulonephritis with deficiency of qi and Yin admitted to Taining County Hospital of Traditional Chinese Medicine were selected.According to different treatment methods,40 cases in the observation group were given Shenqi Dihuang decoction plus or minus treatment,while 41 cases in the control group were given conventional Western medicine treatment.The therapeutic effects of the two groups were observed,and the renal function indexes[blood creatinine(Scr),blood urea nitrogen(BUN),24 h urinary protein quantification(24 h-Upro),urinary microalbumin(MALB)],and the level of immune function indicators[immunoglobulin A(IgA),immunoglobulin G(IgG),T lymphocyte CD4+,CD8+,CD4+/CD8+],serum inflammatory factors[interleukin6(IL-6),interleukin8(IL-8),hypersensitive C-reactive protein(hs-CRP)]were observed.Result:The total effective rate of was 95.00%in the observation group,which was significantly higher than that 78.05%in the control group(P<0.05).Before treatment,there was no significant difference in the comparison of the levels of BUN,Scr,MALB,24 h-Upro,IgA,IgG,CD4+,CD8+,CD4+/CD8+,IL-6,IL-8 and hs-CRP between the two groups(P>0.05).The levels of BUN,Scr,MALB,24 h-Upro,IgA,CD8+,IL-6,IL-8,and hs-CRP were lower in the control group,and the differences were statistically significant(P<0.05).IgG,CD4+,CD4+/CD8+were higher in the control group(P<0.05).Conclusion:Shenqi Dihuang decoction has remarkable therapeutic effect on chronic glomerulonephritis of Qi-Yin deficiency type.It can not only improve renal function and immune function index,but also reduce the level of serum inflammatory factors.

Chronic glomerulonephritisQi and Yin deficiencyShenqi Dihuang decoctionImmune functionSerum inflammatory factor

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泰宁县中医院 福建 泰宁 354400

慢性肾小球肾炎 气阴两虚 参芪地黄汤 免疫功能 血清炎症因子

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(24)