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[目的]观察脱敏消斑汤联合西药治疗紫癜性肾炎疗效。[方法]对60例住院患者使用自拟脱敏消斑汤(乌药、艾叶、金银花、槐花米、阿胶[烊化]各9g,黄芪10～15g,当归9g,滑石10～15g,猪苓、泽泻、车前子[包]各9g,生大黄3～6g,甘草6g,大枣3枚)1剂/d,水煎400mL,早中晚分3次服用。同时联用西药强地松。观测临床症状、尿常规。4周为1疗程,连续治疗1～3疗程,判定疗效。[结果]临床治愈32例,显效15例,有效10例,无效3例,总有效率95.00%(57/60)。服药最少者20剂,最多者90剂,平均25剂。[结论]脱敏消斑汤联合西药治疗紫癜性肾炎,疗效满意。
[Objective] To observe the curative effect of desensitizing Xiaoban Decoction combined with western medicine on purpuric nephritis. [Method] Sixty cases of inpatients were treated with self-made desensitizing Xiaoban Decoction (9 grams each of Radix Aconiti Kusnezoffii, Artemisiae Lonicerae, honeysuckle, Sophora japonica, donkey-hide gelatin and 10-15 g Astragalus membranaceus, Ling, Alisma, Plantago [package] the 9g, rhubarb 3 ~ 6g, licorice 6g, jujube 3) 1 dose / d, decoction 400mL, taken early in the evening 3 times. At the same time with Western pine. Observation of clinical symptoms, urine routine. 4 weeks for a course of treatment, continuous treatment of 1 to 3 courses to determine the efficacy. [Results] 32 cases were clinically cured, 15 cases were markedly effective, 10 cases were effective and 3 cases were ineffective. The total effective rate was 95.00% (57/60). Medication at least 20 agents, up to 90 agents, an average of 25 doses. [Conclusion] Demin Xiaoban Decoction combined with Western medicine in the treatment of purpuric nephritis, the curative effect is satisfactory.