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目的:观察中西医结合治疗老年IgA肾病的临床疗效。方法:选择临床确诊的老年IgA肾病40例,随机分为对照组和观察组各20例。对照组采用常规泼尼松治疗,观察组在对照组治疗基础上加用中药辅助治疗,比较两组临床疗效。结果:两组病例均在治疗1年后评定临床疗效。对照组完全缓解8例,占40.0%;显著缓解4例,占20%;部分缓解4例,占20%;无效4例,占20%;总有效率80.0%。观察组完全缓解14例,占70.0%;显著缓解2例,占10.0%;部分缓解2例,占10.0%;无效2例,占10.0%;总有效率90.0%。两组完全缓解率比较,差异显著(P<0.05)。结论:中西医结合治疗老年IgA肾病临床疗效优于单西药治疗。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of senile IgA nephropathy. Methods: Forty elderly patients with IgA nephropathy were selected and randomly divided into control group and observation group. The control group was treated with conventional prednisone, while the observation group was given adjuvant treatment with traditional Chinese medicine on the basis of the control group. The clinical curative effect was compared between the two groups. Results: Two groups of patients were evaluated after 1 year of clinical efficacy. In the control group, 8 cases were completely relieved (40.0%), 4 cases were relieved (20%), 4 cases were partially relieved (20%), 4 cases were ineffective (20%), and the total effective rate was 80.0%. The observation group completely relieved in 14 cases, accounting for 70.0%; 2 cases significantly relieved, accounting for 10.0%; 2 cases partially relieved, accounting for 10.0%; 2 cases ineffective, accounting for 10.0%; The total effective rate was 90.0%. The two groups of complete remission rate, the difference was significant (P <0.05). Conclusion: The clinical efficacy of integrated traditional Chinese and western medicine in the treatment of elderly IgA nephropathy is better than that of single western medicine.