清热利湿补肾法为主治疗痛风性肾病32例 |
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引用本文: | 杨斌.清热利湿补肾法为主治疗痛风性肾病32例[J].中医临床研究,2011,0(18):84-85. |
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作者姓名: | 杨斌 |
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作者单位: | 湖南省武冈市人民医院,湖南邵阳,422400 |
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摘 要: | 目的:观察清热利湿补肾法为主治疗痛风性肾病的临床疗效。方法:将64例痛风性肾病患者随机分为观察组和对照组各32例,两组患者均注意饮食,别嘌呤醇治疗和降压、降糖、降脂等对症处理,观察组在此基础上加用清热利湿补肾法治疗,均连续治疗3月,对比观察两组患者治疗后血尿酸、肾功能改善情况和总体疗效。结果:两组患者治疗后BUN、Scr、血尿酸均有不同程度下降,较治疗前差异均具有统计学意义(△P〈0.05);治疗后观察组的BUN、Scr、血尿酸均低于对照组,差异均具有统计学意义(P〈0.05);观察组整体疗效优于对照组,差异具有统计学意义(P〈0.05)。结论:清热利湿补肾法为主治疗痛风性肾病能明显降低患者血尿酸,改善肾功能和临床症状,且较单纯西药治疗优。
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关 键 词: | 痛风性肾病 中医药 别嘌呤醇 |
Treating 32 cases of gouty nephropathy by Qingre Lishi Bushen therapy |
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Abstract: | Objective:To observe the clinical effect of treating gouty nephropathy by Qingre Lishi Bushen therapy.Methods: Divide 64 cases of patients with gouty nephropathy into observation group and control group,each for 32 cases,the patients of the two groups all attention to diet,treat with allopurinol,and do antihypertensive,hypoglycemic,lipid-lowering and other symptomatic treatment, on the bases,observation group was treated with Qingre Lishi Bushen therapy,treating for 3 months,observe the blood uric acid, improvement of renal function and overall efficacy of the two groups after treatment.Result:BUN,Scr,serum uric acid of the two group decreased in varying degrees after treatment,compared with before treatment,the difference had statistically significant(△P〈0.05);BUN, Scr,serum uric acid of observation group were lower than that of control group,the difference had statistically significant(P〈0.05);The overall efficacy of observation group than that of control group,the difference had statistically significant(P〈0.05).Conclusion:Treating gouty nephropathy by Qingre Lishi Bushen therapy can reduce the serum uric acid;Impove renal function and clinical symptoms,better than single Western medicine treatment. |
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Keywords: | Gouty nephropathy TCM Allopurinol |
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