[1]马春成,李叶枚,申 旺,等.加味六味地黄汤联合尿激酶治疗早中期慢性肾功能衰竭疗效研究*[J].陕西中医,2019,(3):325-327.
 MA Chuncheng,LI Yemei,SHEN Wang,et al.Clinical study on Jiawei Liuwei Dihuang decoction combined with urokinase in the 〖JZ〗treatment of early and middle stage chronic renal failure[J].,2019,(3):325-327.
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加味六味地黄汤联合尿激酶治疗早中期慢性肾功能衰竭疗效研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年3
页码:
325-327
栏目:
临床研究
出版日期:
2019-03-05

文章信息/Info

Title:
Clinical study on Jiawei Liuwei Dihuang decoction combined with urokinase in the 〖JZ〗treatment of early and middle stage chronic renal failure
文章编号:
DOI: 10.3969/j.issn.10007369.2019.03.015
作者:
马春成李叶枚申 旺伍劲华
暨南大学附属江门市五邑中医院(江门 529000)
Author(s):
MA ChunchengLI YemeiSHEN Wanget al.
Jinan University Affiliated Jiangmen Wuyi Hospital of Traditional Chinese Medicine(Jiangmen 529000)
关键词:
加味六味地黄汤尿激酶慢性肾功能衰竭临床效果证候肾功能不全
Keywords:
Key words Jiawei Liuwei Dihuang decoction Urokinase Chronic renal failure Clinical effectSymptom complexRenal insufficiency
分类号:
R692.5
文献标志码:
A
摘要:
摘 要 目的:探讨加味六味地黄汤联合尿激酶治疗早中期慢性肾功能衰竭的临床效果。方法:选取80例就诊于广东省江门市五邑中医院肾病科门诊及住院的患者,分为基础治疗组即对照组40例、尿激酶联合加味六味地黄汤组即观察组40例。比较两组的中医症候积分,肾功能,凝血功能指标。结果:治疗后,对照组和观察组的总积分分别为(7.92±0.87)分和(6.21±0.87)分,对照组的积分显著高于观察组(P<0.05)。对照组的肾功能血肌酐,血尿素氮和尿蛋白定量显著高于观察组(P<0.05)。对照组的肾功能指标GFR,PT,TT,APTT,TP和ALB显著低于观察组(P<0.05)。结论:加味六味地黄汤联合尿激酶可以起到较好的治疗效果,可以显著改善患者肾功能和凝血功能。
Abstract:
Abstract Objective:To investigate the clinical effect of Jiawei Liuwei Dihuang decoction combined with urokinase in the treatment of early and middle stage chronic renal failure. Methods:80 patients were enrolled in the outpatient department and hospitalized from the department of nephrology Wuyi hospital of Jiangmen Wuyi hospital of traditional Chinese medicine. The patients were divided into the basic treatment group (40 cases) and the urokinase combined with Liuwei Dihuang decoction group (40 cases). The TCM syndrome scores, renal function, and coagulation function indexes of the two groups were compared. Results:After treatment, the total scores of the control group and the observation group were (7.92±0.87) and (6.21±0.87), respectively. The scores of the control group were significantly higher than that of the observation group (P<0.05). The renal dysfunction of renal function in the control group. Blood urea nitrogen and urine protein were significantly higher than the observation group (P<0.05). Renal function indexes GFR, PT, TT, APTT, TP and ALB in the control group were significantly lower than those in the observation group (P<0.05).Conclusion:Jiawei Liuwei Dihuang decoction combined with urokinase can achieve better therapeutic effect, can significantly improve renal function and coagulation function, and has high therapeutic value.

参考文献/References:

[1] 齐振强,任鲁颖,冯国庆,等.慢性肾功能衰竭中医临床研究进展[J] .中华中医药学刊, 2016,32(8):20062009.
[2] 石 霞.慢性肾功能衰竭患者血液透析护理中的危险因素分析及护理对策[J] .中国医药指南,2016,25(14):224225.
[3] 刘 睿.肾康注射液联合血液透析治疗对慢性肾功能衰竭患者肾功能、肾性贫血及细胞因子含量的影响[J] .海南医学院学报, 2016,22(20):23862389.
[4] 赵 彤,高继宁,柳思源.高继宁教授经方治疗慢性肾衰经验总结[J] .中国中医药现代远程教育,2018,26(2):7475.
[5] 刘劲松,钟 颖,周 琳,等.经方合方治疗慢性肾功能不全脾肾阳虚、瘀毒内蕴证的临床研究[J] .中医药导报,2017,32(13):105107.
[6] 张俊伟.六味地黄汤治疗慢性肾小球肾炎的临床疗效[J] .中国民间疗法,2017,26(12):4546.
[7] 王 轶.六味地黄汤加减治疗慢性肾小球肾炎的临床观察[J] .内蒙古中医药,2017, 36(13):1112.
[8] 王海燕.慢性肾脏病及透析的临床实践指南 II\[M\].北京:人民卫生出版社, 2005.
[9] 周 贝,刘亚琳,唐健元.我国中药新药临床研究技术指导原则体系发布概况[J] .中国临床药理学杂志,2017,33(18):18501852.〖ZK)〗
[10] 韩海燕,路建饶,王新华.肾衰方改善早中期慢性肾衰竭患者肾功能及纤维化的临床观察[J] .中国实验方剂学杂志,2016,30(15):166170.
[11] 蔡春伟.桃红四物汤加减治疗慢性肾衰临床疗效观察[J] .中国保健营养,2016, 26(22):147148.
[12] 李 军.舒血宁对AECOPD患者内皮功能和凝血纤溶系统的影响[J] .临床肺科杂志, 2016, 21(7):12581260.
[13] 贾顺莲.肾康注射液联合羟苯磺酸钙胶囊治疗原发性肾病综合征并发急性肾损伤疗效及对凝血纤溶系统的影响[J] .现代中西医结合杂志,2017,26(27):29762979.
[14] 赖虹伊,黄 磊,黄仁发.六味地黄汤及其加味治疗肾间质纤维化的研究进展[J] .广西中医药大学学报,2016,19(4):8083.
[15] 丁学松.尿激酶联合阿魏酸钠治疗慢性肾炎的临床治疗分析[J] .中国医药指南, 2018,36(3):9193.
[16] 古军恩,李 俊,宋启宾.注射用重组人尿激酶原治疗轻中度肾功能不全的ST段抬高型心肌梗死的效果分析[J] .北方药学, 2018,27(1):9192.
[17] 杨 波,乔延恒,赵岩茹,等.从十年文献分析探寻中医药诊治慢性肾衰竭病因病机[J] . 辽宁中医杂志,2016,29(1):5859.
[18] 王 超,杨 翠,汤水福,等.从三因制宜理论探讨岭南地区慢性肾衰竭的病机与治疗[J] . 新中医,2017,36(8):189191.
[19] 陈 敏.加味六味地黄汤联合八白散治疗肝肾不足型黄褐斑的临床观察[J] .天津中医药, 2017,34(3):170172.
[20] 赖虹伊,黄 磊,黄仁发.六味地黄汤及其加味治疗肾间质纤维化的研究进展[J] .广西中医药大学学报,2016,19(4):8083.

备注/Memo

备注/Memo:
*广东省中医药局科研项目(20161269)
更新日期/Last Update: 2019-03-13