1. 河南中医药大学第二临床医学院,河南,郑州,450008
2. 河南省中医院干部病房,河南,郑州,450002
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焦东方, 刘爱华, 王向歌, 等. 糖肾升清降浊颗粒治疗蛋白尿期糖尿病肾病的临床观察[J]. 上海中医药杂志, 2017,51(5):50-53.
JIAO Dong-fang, LIU Ai-hua, WANG Xiang-ge, et al. Clinical observation of Tangshen Shengqing Jiangzhuo Particles in treating diabetic nephropathy with proteinuria[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(5):50-53.
焦东方, 刘爱华, 王向歌, 等. 糖肾升清降浊颗粒治疗蛋白尿期糖尿病肾病的临床观察[J]. 上海中医药杂志, 2017,51(5):50-53. DOI:
JIAO Dong-fang, LIU Ai-hua, WANG Xiang-ge, et al. Clinical observation of Tangshen Shengqing Jiangzhuo Particles in treating diabetic nephropathy with proteinuria[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(5):50-53. DOI:
目的:观察糖肾升清降浊颗粒治疗蛋白尿期糖尿病肾病(DN)的临床疗效。 方法:将96例蛋白尿期DN患者随机分为治疗组和对照组,每组48例。在相同常规对症治疗的基础上,治疗组加予糖肾升清降浊颗粒口服,对照组加予盐酸贝那普利片治疗。两组疗程均为3个月,观察临床疗效,比较中医证候积分、尿微量白蛋白、24 h尿蛋白定量、空腹血糖(FPG)、糖化血红蛋白(HbA1c),及血肌酐(SCr)、尿素氮(BUN)、总胆固醇(TC)、三酰甘油(TG)的变化情况。 结果:①治疗组、对照组临床总有效率分别为85.42%和66.67%;组间临床疗效比较,治疗组显著优于对照组(P<0.05)。②组间治疗前后差值比较,治疗组中医证候积分降低程度比对照组更加明显(P<0.05)。③组间治疗后比较,治疗组尿微量白蛋白、24 h尿蛋白定量下降程度比对照组更加显著(P<0.05)。④组间治疗后比较,SCr、BUN水平差异无统计学意义(P>0.05),而FPG、HbA1c、TC、TG水平治疗组均显著低于对照组(P<0.05)。 结论:糖肾升清降浊颗粒治疗蛋白尿期DN,在控制血糖的同时兼有保护肾功能、降低尿蛋白、改善脂代谢等作用。
Objective:To observe the clinical efficacy of Tangshen Shengqing Jiangzhuo Particles in treating diabetic nephropathy(DN)with proteinuria. Methods96 patients of DN with proteinuria were randomly divided into the treatment group and control group,48 cases in each group. Both groups were treated with the same conventional symptomatic treatment. The treatment group was orally treated with Tangshen Shengqing Jiangzhuo Particles and the control group was treated with Benazepril hydrochloride tablets additionally,with a course of 3 month. The clinical efficacy was observed,and the changes of TCM syndrome score,urinary microalbumin,24 h urine protein quantitation,fasting blood glucose(FPG),glycosylated hemoglobin(HbA1c),serum creatinine (SCr),blood urine nitrogen (BUN),total cholesterol (TC) and triglyceride(TG) were compared. Results:①The clinical total effective rate was 85.42% in the treatment group and 66.67% in the control group. The clinical efficacy of the treatment group was significantly better than that of the control group(P<0.05). ②For the comparison of the difference between treatment before and after,the decrease of TCM syndrome score in the treatment group was more significant than that in the control group(P<0.05). ③After treatment,the decrease of urinary microalbumin and 24h urine protein quantitation in the treatment group were more significant than those in the control group(P<0.05). ④After treatment,there were no statistically significant differences on the levels of SCr and BUN between the two groups(P>0.05),while the levels of FPG,HbA1c,TC,TG in the treatment group were significantly lower than those in the control group(P<0.05). Conclusion:Tangshen Shengqing Jiangzhuo Particles can be used in the treatment of diabetic nephropathy with proteinuria,which can control blood glucose and protect renal function,reduce urine protein and improve lipid metabolism.
糖尿病肾病蛋白尿升清降浊升降散
diabetic nephropathyproteinuriaascending lucidity and descending turbidityShengjiang Powder
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