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目的:观察中西医结合治疗高血压性肾损害的临床疗效。方法:将128例患者随机分为2组各64例,B组予以常规西药方案治疗,A组在B组基础上给予自制安泰固肾汤联合中药穴位注射方案治疗。观察2组患者临床治疗效果,记录其治疗前后各主要症状积分情况及肾段动脉血流动力学变化差异。结果:有效率A组为82.8%,B组为65.6%,2组比较,差异有显著性意义(P<0.05)。2组治疗后症状评分均下降(P<0.05)。2组治疗后症状评分比较,差异有显著性意义(P<0.05)。治疗后,2组收缩期峰值流速(PSV)、舒张末期流速(EDV)均较治疗前增加、阻力指数(RI)则明显降低(P<0.05),A组变化幅度大于B组(P<0.05)。结论:中西医结合治疗高血压性肾损害,临床疗效显著,值得推广应用。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of hypertensive renal impairment. Methods: 128 patients were randomly divided into 2 groups of 64 cases. Group B was treated with routine western medicine. Group A was given Anechisin Decoction combined with Chinese traditional medicine acupoint injection on the basis of group B. The clinical effects of the two groups were observed and the scores of major symptoms before and after treatment and the hemodynamic changes of renal arteries were recorded. Results: The effective rate in group A was 82.8%, in group B was 65.6%. There was significant difference between the two groups (P <0.05). Symptom scores decreased after treatment in both groups (P <0.05). The scores of symptom scores in the two groups after treatment were significantly different (P <0.05). After treatment, the peak systolic velocity (PSV) and end diastolic velocity (EDV) of two groups increased compared with those before treatment, while the resistance index (RI) decreased significantly (P <0.05) ). Conclusion: Integrative Chinese medicine treatment of hypertensive renal damage, clinical efficacy is significant, it is worth promoting.