1. 上海中医药大学研究生院,上海,201203
2. 上海中医药大学附属岳阳中西医结合医院肾病科,上海,200437
3. 上海市杨浦区中医医院,上海,200090
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李珺, 王怡, 米秀华. 益气养阴活血祛风法治疗糖尿病肾病Ⅲ期气阴两虚兼瘀证患者临床研究[J]. 上海中医药杂志, 2016,50(9):42-44.
LI Jun, WANG Yi, MI Xiu-hua. Clinical study on “Yiqi Yangyin Huoxue Qufeng Therapy”in treating diabetic nephropathy in stageⅢwith qi-yin deficiency and blood-stasis[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(9):42-44.
李珺, 王怡, 米秀华. 益气养阴活血祛风法治疗糖尿病肾病Ⅲ期气阴两虚兼瘀证患者临床研究[J]. 上海中医药杂志, 2016,50(9):42-44. DOI:
LI Jun, WANG Yi, MI Xiu-hua. Clinical study on “Yiqi Yangyin Huoxue Qufeng Therapy”in treating diabetic nephropathy in stageⅢwith qi-yin deficiency and blood-stasis[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(9):42-44. DOI:
目的:观察益气养阴活血祛风法治疗糖尿病肾病Ⅲ期的临床疗效。 方法:将60例气阴两虚兼瘀证糖尿病肾病Ⅲ期患者随机分为两组(各30例),均予合理饮食、控制血脂和血糖等处理;治疗组口服益气养阴活血祛风中药汤剂治疗,对照组口服科素亚治疗,疗程12周。观察两组临床疗效、中医证候积分、24 h尿微量白蛋白、尿ACR、Cysc、GFR、FPG、HbA1c、TC、TG、TNF-α等指标变化。 结果:①治疗组总有效率为86.67%,对照组为53.33%;治疗组临床疗效优于对照组(P<0.05);②治疗后,治疗组中医证候积分较治疗前显著降低(P<0.01),且低于对照组(P<0.01);③治疗后,两组Cysc、尿ACR、24 h尿微量白蛋白均较治疗前有所下降(P<0.05,P<0.01),且治疗组低于对照组(P<0.05,P<0.01);④治疗后,治疗组FPG、HbA1c、TC、TG、TNF-α水平均较治疗前下降(P<0.05,P<0.01),且低于对照组(P<0.05,P<0.01)。 结论:益气养阴活血祛风法能减轻糖尿病肾病Ⅲ期患者的尿蛋白,降低TNF-α水平,改善糖脂代谢。
Objective:To observe the clinical efficacy of “Yiqi Yangyin Huoxue Qufeng Therapy” in the treatment of diabetic nephropathy in stage Ⅲwith qi-yin deficiency and blood-stasis. MethodsSixty subjects were randomized into two groups (30 cases in each group).All were received conventional modalities and controlled the blood lipid and glucose. The treatment group was given “Yiqi Yangyin Huoxue Qufeng”decoction and the control group was given losartan, with a course of 12 weeks. The clinical efficacy, syndrome score of Traditional Chinese Medicine(TCM), urinary albumin within 24 hours, urine ACR, Cysc, GFR, FPG, HbA1C, TC, TG and TNF-α were observed and compared. Results:①The total effective rate was 86.67% in the treatment group and 53.33% in the control group, and the efficacy in the treatment group was better than that in the control group(P<0.05);②After treatment, the syndrome score of TCM in the treatment group significantly decreased compared with before treatment(P<0.01), and was lower than that in the control group(P<0.01);③After treatment, the levels of Cysc, urine ACR and urine albumin within 24 h all decreased in both groups compared with before treatment(P<0.05,P<0.01), and those in the treatment group were lower than those in the control group(P<0.05, P<0.01);④After treatment, the levels of FPG, HbA1c, TC, TG and TNF-α in the treatment group decreased compared with before treatment(P<0.05, P<0.01), and was lower than those in the control group(P<0.05,P<0.01). Conclusion:“Yiqi Yangyin Huoxue Qufeng Therapy”can reduce the level of the urine protein and TNF-α, and improve the metabolism of glucose and lipid in the patients with diabetic nephropathy in stage Ⅲ.
糖尿病肾病益气养阴活血祛风法中医药疗法
diabetic nephropathy“Yiqi Yangyin Huoxue Qufeng Therapy”therapy of traditional Chinese medicine
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