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目的:观察真武汤合五皮饮加减联合激素治疗脾肾阳虚型小儿肾病综合征的临床疗效。方法:选取60例脾肾阳虚型小儿肾病综合征患者,随机分为治疗组和对照组各30例,对照组采用西医常规治疗,治疗组在对照组治疗基础上加用真武汤合五皮饮加减治疗,观察比较2组患者血白蛋白、24h尿蛋白量及临床疗效。结果:总有效率治疗组为93.3%,对照组为70.0%,组间比较,差异有统计学意义(P<0.05);2组24h尿蛋白及血浆白蛋白治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:真武汤合五皮饮加减联合激素治疗脾肾阳虚型小儿肾病综合征有较好疗效。
Objective: To observe the clinical curative effect of Zhenwu Decoction combined with Pekin Decoction combined with hormone in treating children with nephrotic syndrome of spleen-kidney-yang syndrome. Methods: Sixty cases of children with nephrotic syndrome of spleen and kidney yang deficiency were randomly divided into treatment group and control group, 30 cases in each group. The control group was treated by conventional western medicine. The treatment group was treated with Zhenwu Decoction Drink plus and minus treatment, observed and compared two groups of patients serum albumin, 24h urinary protein and clinical efficacy. Results: The total effective rate was 93.3% in the treatment group and 70.0% in the control group, with significant difference between the two groups (P <0.05). The levels of 24-hour urine protein and serum albumin in the two groups before and after treatment were significantly higher than those in the control group Between the two groups, the differences were statistically significant (P <0.05). Conclusion: Zhenwu decoction combined five Pi decoction plus hormone treatment of children with nephrotic syndrome of spleen and kidney yang better curative effect.