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[目的]观察益气敛微汤联合厄贝沙坦治疗早期糖尿病肾病疗效。[方法]使用随机平行对照方法,将58例门诊患者按数字随机表随机分为两组。对照组29例厄贝沙坦,0.15g/次,1次/d。治疗组29例益气敛微汤,黄芪30g,生地、枸杞子各15g,丹参、女贞子各12g,茯苓15g,山萸肉10g,芡实、金樱子各15g。1剂/d,水煎100mL,早晚口服。西药治疗同对照组。连续治疗6周为1疗程。观测临床症状、蛋白尿、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组显效12例,有效15例,无效2例,总有效率93.10%。对照组显效11例,有效13例,无效5例,总有效率82.76%。临床疗效治疗组优于对照组(P<0.05)。[结论]益气敛微汤联合厄贝沙坦治疗早期糖尿病肾病疗效显著,值得推广。
[Objective] To observe the curative effect of Yiqi Lveruang decoction combined with irbesartan on early diabetic nephropathy. [Methods] Using randomized parallel control method, 58 outpatients were randomly divided into two groups according to the random number table. The control group of 29 irbesartan, 0.15g / time, 1 time / d. 29 cases of treatment group Qi Qi convergence Wei Tang, Astragalus 30g, habitat, medlar 15g, Salvia, Ligustrum 12g, Poria 15g, cornus 10g, Gorgon, Rosa laevigata 15g. 1 dose / d, decoction 100mL, sooner or later oral. Western medicine treatment with the control group. Continuous treatment of 6 weeks for a course of treatment. Observation of clinical symptoms, proteinuria, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Results] The treatment group markedly effective in 12 cases, effective in 15 cases, 2 cases, the total effective rate was 93.10%. In the control group, 11 cases were markedly effective, 13 cases were effective, 5 cases were ineffective, and the total effective rate was 82.76%. The clinical efficacy of treatment group than the control group (P <0.05). [Conclusion] Yiqi convergence micro-decoction combined with irbesartan treatment of early diabetic nephropathy significant effect, it is worth promoting.