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目的:探讨益气活血补肾方联合硝苯地平治疗高血压肾病所致肾衰的临床效果并评估患者肾功能。方法:将符合纳入标准的60名患者随机分为治疗组和对照组各30例,对照组仅采用常规治疗,治疗组在常规治疗的基础上辨证给予益气活血补肾方加减内服,经过3个月的治疗后,评估两组患者治疗前后的临床疗效,并比较两组肾功能改善情况。结果:经治疗后,两组24 h尿蛋白定量、血肌酐(SCr)、血尿素氮(BUN)水平较治疗前均下降(P<0.05),两组内生肌酐清除率(Ccr)水平比治疗前上升(P<0.05)。治疗组比对照组治疗后的改善效果更显著(P<0.05)。治疗组疾病疗效与中医证候疗效总有效率分别为86.7%、80.0%,对照组分别为70.0%,66.7%,治疗组均优于对照组(P<0.05)。结论:在常规治疗的基础上,运用硝苯地平配合中医辨证给予益气活血补肾方加减治疗高血压肾病所致的肾衰,可明显改善患者各项肾功能指标。
Objective: To investigate the clinical effects of Yiqi Huoxue Bushen Recipe combined with nifedipine in the treatment of renal failure induced by hypertensive nephropathy and to evaluate the renal function. Methods: Sixty patients who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with conventional therapy only. The treatment group was treated with " After months of treatment, the clinical efficacy of both groups before and after treatment was evaluated, and the improvement of renal function was compared between the two groups. Results: The levels of 24 h urinary protein, serum creatinine (SCr) and blood urea nitrogen (BUN) in both groups decreased after treatment (P <0.05), and the levels of endogenous creatinine clearance (Ccr) Before treatment increased (P <0.05). The treatment group than the control group after treatment more significant improvement (P <0.05). The curative effect of treatment group and traditional Chinese medicine syndrome curative effect were 86.7%, 80.0%, respectively, the control group were 70.0%, 66.7%, respectively, the treatment group were better than the control group (P <0.05). Conclusion: On the basis of routine treatment, the use of nifedipine with traditional Chinese medicine syndrome differentiation given Yiqi Huoxue Bushen Fang treatment of hypertensive renal failure caused by renal failure, can significantly improve the patient’s renal function indicators.