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目的观察中药联合贝那普利治疗糖尿病肾病的临床疗效及对肾功能指标的影响。方法2007年1月-2009年1月,将98例随机分为两组,每组49例,对照组采用贝那普利治疗,观察组采用中药联合贝那普利治疗。观察治疗前后的疗效及相关指标的变化。结果观察组的临床疗效及中医症候疗效的总有效率均高于对照组,差异有统计学意义(P<0.05)。治疗后两组UAER、BUN、SCr水平均较治疗前明显下降,差异有统计学意义(P<0.05)。观察组治疗后UAER、BUN、SCr水平低于对照组治疗后水平,差异有统计学意义(P<0.05)。结论中药联合贝那普利治疗DN疗效显著,能够明显减少蛋白尿排泄,保护肾功能。
Objective To observe the clinical efficacy of traditional Chinese medicine combined with benazepril in the treatment of diabetic nephropathy and its effect on renal function indexes. Methods From January 2007 to January 2009, 98 cases were randomly divided into two groups (49 cases in each group). The control group was treated with benazepril and the observation group was treated with traditional Chinese medicine combined with benazepril. Observed before and after treatment and related indicators of change. Results The clinical efficacy of the observation group and the total effective rate of TCM symptoms were higher than the control group, the difference was statistically significant (P <0.05). After treatment, the levels of UAER, BUN and SCr in both groups were significantly lower than those before treatment, the difference was statistically significant (P <0.05). The levels of UAER, BUN and SCr in the observation group were lower than those in the control group after treatment, the difference was statistically significant (P <0.05). Conclusion Chinese medicine combined with benazepril treatment of DN significant effect, can significantly reduce proteinuria excretion, protection of renal function.