论文部分内容阅读
我们自1994年以来采用双冲击并中西医结合疗法治疗复发性肾病40例,取得满意的近远期临床疗效,现将结果报道如下。 1 临床资料 本组病患40例均为肾病专科门诊和住院患者。40例中男22例,女18例;年龄最小7岁,最大46岁,平均年龄12.4岁。诊断均符合1985年9月第二届全国肾脏病学术会议修订的肾小球疾病临床分型。其中肾病综合征Ⅰ型22例,Ⅱ型6例,慢性肾炎肾病型12例。就诊前病程短者6个月,长者达5年,平均病程10个月左右。原治疗方案或正在应用方案:①强的松维持并逐渐撤减;②强的松+中药专方;③单用中药专方专药巩固治疗。患者复发次数,短者为1次,多者达6次,平均为3次。复发诱因:①外感者20例(占50％);②劳累者10例(占25％);③其他或无明显诱因者10例(占25％)。复发时的情况:患者全部达到尿蛋白≥3.5g/24h(儿童每天≥0.18/kg)。
Since 1994, we use double impact and Integrative Medicine treatment of recurrent nephropathy in 40 cases, and achieved satisfactory short-term clinical efficacy, the results reported below. 1 clinical data 40 patients in this group were nephropathy specialist outpatient and inpatient. 40 cases of 22 males and 18 females; the youngest 7 years old, maximum 46 years old, with an average age of 12.4 years. The diagnosis was in line with the clinical classification of glomerular disease as revised in the Second National Symposium on Nephrology in September, 1985. Among them, 22 cases were type I nephrotic syndrome, 6 cases were type II and 12 cases were nephropathy with chronic nephritis. Short duration of treatment before 6 months, the elderly up to 5 years, the average duration of about 10 months. The original treatment options or programs are being applied: ① prednisone to maintain and gradually withdraw; ② prednisone + Chinese medicine professionals; ③ single proprietary Chinese medicine consolidation therapy. The number of patients relapsed, the short one, more than 6 times, an average of 3 times. Causes of recurrence: ① 20 cases of exogenous (50%); ② fatigue in 10 cases (25%); ③ other or no obvious incentive in 10 cases (25%). Recurrence cases: All patients reached urinary protein ≥ 3.5g / 24h (children daily ≥ 0.18 / kg).