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目的观察复方丹参滴丸联合金水宝胶囊治疗高血压肾病患者的临床疗效。方法将38例患者随机分为两组各19例。对照组在一般治疗基础上口服依那普利和硝苯地平缓释片控制血压,治疗组则在上述治疗基础上加用复方丹参滴丸及金水宝胶囊口服。疗程均为3个月。两组患者均于治疗前后检测尿蛋白及肌酐(Cr)、尿素氮(BUN)、肌酐清除率(CCr)等生化指标,并进行比较。结果总有效率治疗组为95%,对照组为74%,两组比较差异有统计学意义(P<0.01)。结论采用复方丹参滴丸、金水宝胶囊联合依那普利、硝苯地平缓释片等治疗高血压肾病,能改善因肾损害所致的肾素和血浆容量失调,缓解因肾素增加所致的肾小球阻力增大、肾脏血流量减少等连锁反应,有利于增加肾血流量,从而起保护肾功能的作用。
Objective To observe the clinical efficacy of compound Danshen dripping pills and Jinshuibao capsule in the treatment of patients with hypertensive nephropathy. Methods 38 patients were randomly divided into two groups of 19 cases. Control group on the basis of general treatment of oral enalapril and nifedipine sustained release tablets to control blood pressure, the treatment group is based on the above treatment plus compound danshen dripping pills and jinshui capsule oral. Treatment are 3 months. Urinary protein and creatinine (Cr), blood urea nitrogen (BUN), creatinine clearance (CCr) and other biochemical parameters were measured in both groups before and after treatment, and compared. Results The total effective rate was 95% in the treatment group and 74% in the control group, with significant difference between the two groups (P <0.01). Conclusion The treatment of hypertensive nephropathy with Compound Danshen Dripping Pill, Jinshuibao Capsule combined with enalapril and nifedipine sustained-release tablets can improve the imbalance of renin and plasma volume caused by renal damage and relieve the increase of renin Of glomerular increased resistance, renal blood flow reduction and other chain reactions, is conducive to increasing renal blood flow, thereby protecting the renal function.