肾衰方治疗慢性肾功能衰竭的临床研究

目的：探讨肾衰方对脾肾虚衰、湿浊瘀阻型慢性肾功能衰竭（CRF）的作用。方法：125例中医辨证为脾肾虚衰、湿浊瘀阻型CRF患者随机分成两组,治疗组75例以自拟肾衰方加西药治疗,对照组50例单用西药治疗,6个月后观察两组的疗效及肾功能、血色素、蛋白尿、血脂等相关指标的变化情况。结果：治疗组总有效率为77.33%,明显优于对照组44.00%（P〈0.01）;治疗组在改善肾功能、降低蛋白尿、升高血色素、改善血脂代谢方面明显优于对照组（P〈0.05或P〈0.01）。结论：肾衰方能有效治疗脾肾虚衰、湿浊瘀阻型CRF。

Clinical Study on Shen Shuai Fang in Treating Chronic Renal Failure

OBJECTIVE: To explore the effect of Shen Shuai Fang in treating Chronic Renal Failure (CRF) of deficiency of spleen and kidney with turbid damp and blood stagnation symptom. METHODS: 125 patients with CRF of deficiency of spleen and kidney with turbid damp and blood stagnation symptom were randomly divided into two groups, 75 patients in treatment group were treated with Shen Shuai Fang adding western medicine and the other patients in control group were treated only with western medicine. We observed the effect and indexes change including renal function, Hb, proteinuria, lipid before and after treatment. RESULTS: After six months' treatment, the general effective rate in treatment group was 77.33%, which was higher than that in control group obviously (44.00%, P < 0.01). So treatment group was obviously better than control group on decreasing proteinuria, improving renal function, increasing Hb, ameliorating lipid metabolism (P < 0.05 or P < 0.01). CONCLUSION: Shen Shuai Fang is effective to treat CRF of deficiency of spleen and kidney with turbid damp and blood stagnation symptom.