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[目的]观察降糖益肾方联合西药治疗糖尿病肾病疗效。[方法]使用随机平行对照方法,将59例住院患者按就诊顺序编号法分为两组。对照组24例以实际血糖情况为依据,美吡达,2.5~5mg/次,3次/d,口服;未取得良好控制效果则可加二甲双胍,0.25~0.5g/次,3次/d,口服;胰岛素继续服用;伴有高血压症状,加克甫定,25mg/次,3次/d,口服。治疗组25例降糖益肾方(大黄9g,蒲黄12g,淫羊藿15g,山药、玉米须、葛根、生地黄、益母草各20g,黄芪、丹参各30g),1剂/d,水煎200mL,早晚口服;西医治疗同对照组。连续治疗60d为1疗程。观测临床症状、24h尿蛋白定量、血肌酐、尿素氮、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效12例,有效11例,无效2例,总有效率92.00%。对照组显效5例,有效10例,无效9例,总有效率62.50%。治疗组疗效优于对照组(P<0.05)。[结论]降糖益肾方联合西药治疗糖尿病肾病疗效显著,值得推广。
[Objective] To observe the therapeutic effect of Jiangtang Yishen Recipe combined with western medicine on diabetic nephropathy. [Methods] Using randomized parallel control method, 59 cases of inpatients were divided into two groups according to the sequence number of visiting doctor. Control group of 24 cases based on the actual blood glucose, the United States Pida, 2.5 ~ 5mg / times, 3 times / d, oral; did not get good control effect can be added metformin, 0.25 ~ 0.5g / time, 3 times / Oral; insulin continue to take; accompanied by symptoms of hypertension, gaclodine, 25mg / time, 3 times / d, orally. Treatment group, 25 cases of hypoglycemic yishen prescription (Rhubarb 9g, Puhuang 12g, Epimedium 15g, yam, corn, Pueraria, Rehmannia, Motherwort 20g, Astragalus, Salvia 30g each), 1 / d, decoction 200mL, morning and evening oral; Western medicine treatment with the control group. Continuous treatment of 60d for a course of treatment. Observation of clinical symptoms, 24h urinary protein, serum creatinine, urea nitrogen, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group markedly effective in 12 cases, effective in 11 cases, 2 cases, the total effective rate was 92.00%. The control group markedly effective in 5 cases, effective in 10 cases, ineffective in 9 cases, the total effective rate was 62.50%. The treatment group was better than the control group (P <0.05). [Conclusion] Jiangtang Yishen Recipe combined with western medicine has significant curative effect on diabetic nephropathy and is worth popularizing.