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目的:探讨紫癜性肾炎的中西医结合辨证治疗临床疗效。方法:采用中西医结合辨证治疗的方法治疗紫癜性肾炎56例为治疗组,单纯西药治疗20例为对照组,用药20周,观察两组治疗前后临床疗效及尿沉渣红细胞、24h尿蛋白定量、血肌酐的变化。结果:治疗组总有效率96.4%,随访半年无复发。对照组总有效率85%。治疗组总有效率高于对照组(P<0.05)。结论:中西医结合辨证治疗较单纯西药治疗疗效显著,复发率低,未发现明显的不良反应。
Objective: To investigate the clinical efficacy of syndrome differentiation of traditional Chinese and western medicine for purpuric nephritis. Methods: 56 cases of purpuric nephritis treated by combination of traditional Chinese and western medicine were treated with pure western medicine and 20 cases with pure western medicine were used as control group. The therapeutic effect was observed before and after treatment for 20 weeks. The urinary sediment, Changes in serum creatinine. Results: The total effective rate was 96.4% in the treatment group, with no recurrence after 6 months follow-up. The control group, the total efficiency of 85%. The total effective rate in the treatment group was higher than that in the control group (P <0.05). Conclusion: The treatment of traditional Chinese and western medicine is more effective than pure western medicine in treating dialectical syndromes, with a low recurrence rate and no obvious adverse reactions.