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[目的]探讨联合地奥司明治疗难治性糖尿病肾病浮肿的临床疗效。[方法]对32例糖尿病肾病浮肿患者采取综合治疗后效果不明显者,又称难治性浮肿,加用地奥司明联合治疗,治疗前后结果进行对比。[结果]治疗后浮肿完全消退11例,部分减轻18例,无效3例,有效率90.6%。体重较加用地奥司明前减轻,血压下降,尿蛋白排泄减少。[结论①在综合治疗基础上,加用地奥司明能有效改善糖尿病肾病患者浮肿,减轻体重,控制血压,减少尿蛋白;②对常规治疗效果不明显的糖尿病肾病患者可能同时存在静脉系统及淋巴回流障碍。
[Objective] To investigate the clinical efficacy of combined oseltamil in the treatment of edema of refractory diabetic nephropathy. [Method] 32 patients with diabetic nephropathy edema after taking the combination therapy is not obvious, also known as intractable edema, combined with teroxine combination therapy before and after treatment results were compared. [Results] The edema completely subsided in 11 cases, 18 cases partially relieved, 3 cases ineffective, and the effective rate was 90.6%. Austrian patients with more weight to relieve pre-Ming, blood pressure, urinary protein excretion decreased. [Conclusion] On the basis of comprehensive treatment, adding Diosmin can effectively improve edema, weight loss, blood pressure control and decrease urinary protein in patients with diabetic nephropathy; ②For patients with diabetic nephropathy who have no obvious curative effect, there may be both venous system and lymph Reflux disorder.