滋阴通络汤配合中药穴位贴敷治疗早期糖尿病肾病30例

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目的:观察滋阴通络汤配合中药穴位贴敷治疗早期糖尿病肾病的临床疗效。方法:将60例本病患者随机分为两组各30例,对照组患者均给予糖尿病宣教,适当运动,饮食控制,胰岛素等基础治疗。治疗组在对照组治疗基础上予滋阴通络汤配合中药穴位贴敷。两组均以4周为1个疗程,4个疗程后观察两组24 h尿蛋白定量、肾功能、肝功能各项指标,并进行统计分析。结果:两组治疗后比较,治疗组血肌酐、24 h尿蛋白低于对照组(P<0.05或P<0.01),血清白蛋白高于对照组(P<0.05)。结论:在常规降血糖、降血脂、降血压的基础上予滋阴通络汤配合中药穴位贴敷治疗早期糖尿病肾病,可显著减少蛋白尿,改善肾功能。 Objective: To observe the clinical efficacy of Ziyin Tongluo Decoction combined with traditional Chinese medicine acupoint sticking in the treatment of early diabetic nephropathy. Methods: Sixty patients with this disease were randomly divided into two groups of 30 patients. Patients in the control group were given basic therapy such as diabetes education, appropriate exercise, diet control and insulin. The treatment group was given Ziyin Tongluo Decoction combined with traditional Chinese medicine acupoint sticking on the basis of the control group. Both groups were given a course of treatment for 4 weeks. After 24 courses of treatment, 24-hour urinary protein, renal function and liver function indexes of the two groups were observed and statistically analyzed. Results: Serum creatinine, 24 h urinary protein in the treatment group were lower than those in the control group (P <0.05 or P <0.01), serum albumin was higher than the control group (P <0.05). Conclusion: Based on the regular hypoglycemic, hypolipidemic and antihypertensive effects, Ziyin Tongluo Decoction combined with acupoint sticking with traditional Chinese medicine in the treatment of early diabetic nephropathy can significantly reduce proteinuria and improve renal function.
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