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目的探讨中西医联合系统护理干预治疗高血压性肾损伤的临床疗效。方法选取广西中医药大学第一附属医院仁爱分院2014年1月—2015年1月收治的高血压性肾损伤患者160例,根据入院时间分为对照组和试验组,各80例。对照组患者给予常规西药治疗及护理,试验组患者在对照组基础上给中药治疗,并结合系统护理干预。比较两组患者的临床疗效及治疗前后实验室检查指标[24 h尿蛋白定量、丝氨酸(Ser)、尿素氮(BUN)、三酰甘油(TG)、总胆固醇(TC)、血糖]。结果试验组患者临床疗效优于对照组(P<0.05)。治疗前,两组患者24h尿蛋白定量、Ser、BUN、TG、TC、血糖水平比较,差异无统计学意义(P>0.05);治疗后,试验组患者24 h尿蛋白定量、Ser、BUN、TG、TC、血糖水平低于对照组(P<0.05)。结论中西医结合联合系统护理干预治疗高血压性肾损伤临床疗效确切,可有效改善患者临床症状。
Objective To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of hypertensive renal injury. Methods 160 cases of hypertensive renal injury admitted in Ren Ai Branch of First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from January 2014 to January 2015 were divided into control group and experimental group according to the time of admission. Patients in the control group were given routine western medicine treatment and nursing. Patients in the test group were treated with traditional Chinese medicine on the basis of the control group, combined with systematic nursing intervention. The clinical efficacy of the two groups were compared before and after treatment and laboratory test indicators [24 h urine protein, Ser, BUN, triglyceride (TG), total cholesterol (TC), blood glucose]. Results The clinical efficacy of the experimental group was better than that of the control group (P <0.05). Before treatment, 24-hour urinary protein excretion, Ser, BUN, TG, TC and blood glucose levels were not significantly different between the two groups (P> 0.05) TG, TC, blood glucose levels were lower than the control group (P <0.05). Conclusion Integrative Medicine Integrative System Nursing intervention treatment of hypertensive renal injury clinical curative effect is exact, can effectively improve the clinical symptoms of patients.