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目的 :观察中西医结合治疗慢性肾功能衰竭 ( CRF)的疗效。方法 :将 68例 CRF患者随机分为中西医结合治疗组 ( T组 )和西医治疗对照组 ( C组 )。两组均给控制血压、优质低蛋白饮食( L PD)、包醛氧淀粉、潘生丁、Vit E。C组静滴能量合剂 ,T组则用刺五加注射液 ,并服中药保肾汤。均以 4周为 1个疗程。分别检测两组治疗前后 BUN、Cr,2 4 h尿蛋白排泄量 ( 2 4 HUPQ)及尿 C3、FDP的变化。结果 :治疗后 T组 BUN、Cr,2 4 HUPQ均显著下降 ( P均 <0 .0 5) ,亦明显低于 C组 ,C组 BUN、Cr,2 4 HUPQ均无下降 ( P均 >0 .0 5) ,且 Cr有升高趋势。 T组 2 7.7%尿 C3、FDP及 11.7%尿常规转阴 ,症状明显改善 ,无严重并发症及副作用 ,C组尿 C3、FDP及尿常规无转阴 ,症状多无明显改善 ,14.7%的患者于疗程结束后做透析。结论 :中西医结合治疗 CRF的疗效显著优于西医治疗 ,尤适合氮质血症
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on chronic renal failure (CRF). Methods: Sixty-eight patients with CRF were randomly divided into treatment group (T group) and western medicine control group (C group). Two groups were given to control blood pressure, high-quality low-protein diet (L PD), including aldose starch, dipyridamole, Vit E. Group C intravenous infusion of energy mixture, T group was Acanthopanax injection, and take traditional Chinese medicine Baoshen Tang. All 4 weeks for a course of treatment. The changes of urinary protein excretion (24 HUPQ), urine C3 and FDP of BUN, Cr and 24 h before and after treatment were detected. Results: After treatment, the levels of BUN, Cr and 24 HUPQ in T group were significantly decreased (all P <0.05), and also significantly lower than those in C group (P <0 0) .0 5), and Cr has a rising trend. T group 2 7.7% urine C3, FDP and 11.7% urine routine negative, the symptoms were significantly improved, no serious complications and side effects, C group, urinary C3, FDP and urine routine no negative, no significant improvement in symptoms, 14.7% Patients are dialyzed at the end of the course of treatment. Conclusion: The treatment of traditional Chinese and Western medicine CRF significantly better than the efficacy of Western medicine treatment, especially for azotemia