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目的探讨采用中医活瘀祛浊法治疗膜性肾病的临床研究。方法选取我科经肾活检确诊为膜性肾病的患者90例,将其随机分为两组,对照组给予常规治疗,治疗组在对照组治疗基础上加用中医活瘀祛浊法治疗,观察两组患者24h尿蛋白定量、肾功能、血浆白蛋白、胆固醇等的变化情况。结果治疗3个疗程后,两组患者治疗效果中治疗组总有效率为95.56%,明显高于对照组的71.11%。两组比较差异有显著性(P<0.05),与治疗前比较24h尿蛋白定量显著降低,血清白蛋白显著升高,甘油三酯和胆固醇逐渐恢复正常,而肾功能无显著变化;未发现严重不良反应。结论运用中医活瘀祛浊法治疗膜性肾病疗效确切,能改善其临床症状及体征,提高临床缓解率,降低24h尿蛋白定量,减少激素的剂量及不良反应,具有较高的临床价值。
Objective To investigate the clinical study of treating the membranous nephropathy by using the method of removing blood stasis and removing turbidity. Methods Ninety patients diagnosed as membranous nephropathy by renal biopsy were selected and randomly divided into two groups. The control group was given routine treatment. The treatment group was treated with traditional Chinese medicine for removing blood stasis and removing turbidity on the basis of the control group. 24h urinary protein in patients with quantitative, renal function, plasma albumin, cholesterol and other changes. Results After three courses of treatment, the total effective rate of the two groups was 95.56%, which was significantly higher than that of the control group (71.11%). The difference between the two groups was significant (P <0.05). Compared with those before treatment, the proteinuria of urinary protein was significantly reduced, serum albumin was significantly increased, triglyceride and cholesterol returned to normal, but no significant changes in renal function; no serious Adverse reactions. Conclusion The treatment of membranous nephropathy by the method of Chinese medicine for removing blood stasis and removing turbidity is effective and can improve its clinical symptoms and signs, improve the clinical remission rate, reduce the quantitation of urinary protein in 24 hours, reduce the dose and adverse reactions of hormones, and have high clinical value.