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目的:探讨归脾汤加减联合复方芦丁治疗肾性血尿的疗效.方法:将94例肾性血尿患者随机分为治疗组和对照组各47例,对照组患者给予复方芦丁治疗,治疗组患者在对照组基础上给予归脾汤加减治疗,观察两组患者临床治疗效果,检测两组患者治疗前后肾功能指标和实验室指标变化.结果:治疗组总有效率显著高于对照组,差异有统计学意义(P＜0.05);与治疗前比较,治疗后两组肾性血尿患者24h尿蛋白定量(24h-U-TP)、血肌酐(SCr)、血尿素氮(BUN)、尿微量蛋白(U-MTB)和尿红细胞数(U-RBC)水平均显著降低,血浆白蛋白(Alb)水平显著升高,差异均有统计学意义(P＜0.05);治疗组治疗后患者肾功能指标(BUN和SCr)和实验室指标(24h-U-TP、U-MTB和U-RBC)均显著低于对照组,而Alb显著高于对照组,差异均有统计学意义(P＜0.05).结论:归脾汤联合复方芦丁治疗肾性血尿有较好疗效,可改善肾功能.“,”Objective:To observe the curative effect of Guipi decoction (归脾汤) combined with compound rutin on renal hematuria.Methods:A total of 94 patients with renal hematuria were selected and randomly divided into the observation group (47 patients) and the control group (47 patients).The control group patients were treated with compound rutin.The observation group patients were treated with compound rutin combined with Guipi decoction.Treatment effect of two groups was observed.Before and after treatment,the changes of renal function and laboratory indexes were analyzed.The related mechanism of combined therapy was analyzed.Results:After treatment,the total effective rate of the observation group was significantly higher than that of the control group (P＜0.05).After treatment,24 hours urine protein (24h-U-TP),serum creatinine (SCr),blood urea nitrogen (BUN),urinary protein (U-MTB) and urine red blood cell count (U-RBC) of the two groups were significantly decreased,but plasma albumin (Alb) level increased significantly (P＜0.05).After treatment,the renal function indexes (BUN and SCr) and laboratory indexes (24h-U-TP,U-MTB and U-RBC) in the observation group were significantly lower than those in the control group,but Alb was significantly higher than the control group after treatment (P＜0.05).Conclusion:Combined treatment of Guipi decoction and compound rutin can improve the clinical treatment effect of patients with renal hematuria,reduce renal function,improve the relevant laboratory index,and promote the rehabilitation of patients with renal hematuria.