芪地降白汤治疗肝肾阴虚兼瘀血 湿浊型糖尿病肾病的疗效评价
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曾国志,男,主治医师,主要研究方向是肾病的中西医结合治疗。

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R 587.2

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Evaluation of the Effect of Qidi Jiangbai Decoction on Diabetic Nephropathy with Deficiency of Liver-yin and Kidney-yin Combined with Blood Stasis and Damp Turbidity
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    摘要:

    摘 要目的:探讨芪地降白汤治疗肝肾阴虚兼瘀血湿浊型糖尿病肾病患者的临床疗效。 方法:选取福建中医药大学 附属第二人民医院 2019 年 10 月至 2020 年 7 月期间收治的 70 例肝肾阴虚兼瘀血湿浊型糖尿病肾病患者,使用随机平行对 照法分为观察组与对照组,各 35 例。对照组采用贝那普利治疗,观察组采用芪地降白汤联合贝那普利治疗。比较两组疗效、 肾功能指标〔血肌酐(Scr)、尿微量白蛋白(umALB)、尿素氨(BUN)、24 h 尿蛋白定量〕、血脂指标〔高密度脂蛋白 胆固醇(HDL–C)、低密度脂蛋白胆固醇(LDL–C)、三酰甘油(TG)、总胆固醇(TC)〕、糖化血红蛋白(HbA1c)。 结果:观察组患者治疗总有效率为 97.14 %,高于对照组的 77.14 %,差异具有统计学意义(P < 0.05)。治疗前两组患者 的肾功能比较,差异无统计学意义(P > 0.05);治疗后,观察组患者的肾功能优于对照组,差异具有统计学意义(P < 0.05)。 治疗前,两组患者的 HDL–C、LDL–C、TG、TC、HbA1c 比较,差异无统计学意义(P > 0.05);治疗后观察组患者的 LDL–C、TG、TC、HbA1c 低于对照组,HDL–C 高于对照组,差异具有统计学意义(P < 0.05)。 结论:芪地降白汤联合 贝那普利治疗肝肾阴虚兼瘀血湿浊型糖尿病肾病疗效显著,能进一步改善患者肾功能,调节血糖及血脂。

    Abstract:

    AbstractObjective To investigate the clinical efficacy of Qidi Jiangbai Decoction in treating diabetic nephropathy patients with liver and kidney Yin deficiency combined with blood stasis and damp turbidity. Methods A total of 70 diabetic nephropathy patients with liver-kidney Yin deficiency combined with blood stasis and damp turbidity were selected from the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from October 2019 to July 2020, and they were divided into observation group and control group by random parallel control method, with 35 cases in each group. The control group was treated with benazepril, and the observation group was treated with Qidi Jiangbai Decoction combined with benazepril. The efficacy and renal function indexes [serum creatinine (Scr), urinary microalbumin (umALB), urea ammonia (BUN), 24h Urine protein quantification], Blood lipid indicators [High-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triacylglycerol (TG), total cholesterol (TC), glycosylated hemoglobin (HbAlc)] were compared between the two groups. Results The total effective rate of the observation group was 97.14%, higher than 77.14% of the control group, the difference was statistically significant (P < 0.05). There was no significant difference in renal function between the two groups before treatment (P > 0.05). After treatment, renal function of the observation group was better than that of the control group, the difference was statistically significant (P < 0.05). Before treatment, there were no significant difference in HDL-C, LDL-C, TG, TC and HbA1c between the two groups (P > 0.05). After treatment, LDL-C, TG, TC and HbA1c in the observation group were lower than those in the control group, while HDL-C was higher than that of the control group, the differences were statistically significant (P < 0.05). Conclusion Qidi Jiangbai Decoction combined with Benazepril is effective in the treatment of diabetic nephropathy with liverkidney Yin deficiency combined with blood stasis and damp turbidity, which can further improve renal function and regulate blood glucose and lipid.

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  • 收稿日期:2021-09-03
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  • 在线发布日期: 2023-07-20
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