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目的:观察中西医结合治疗过敏性紫癜性肾炎的临床疗效。方法:将91例患儿通过中医辨证,结合临床分型,孤立性血尿型以单纯中药或中药加雷公藤多苷治疗,血尿和蛋白尿型采用雷公藤多苷加血管紧张素转换酶抑制剂(ACEI)加中药治疗,肾病综合征型采用皮质激素、免疫抑制剂、抗血小板聚集、抗凝及中药联合治疗。结果:临床治愈33例,显效37例,好转17例,无效4例,总有效率95.60%。结论:采用中西医结合的方法治疗紫癜性肾炎能取得较好疗效。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of allergic purpura nephritis. Methods: 91 cases of children through syndrome differentiation of traditional Chinese medicine, combined with clinical classification, isolated hematuria with pure Chinese medicine or Chinese medicine plus Tripterygium glycosides glycosides treatment, hematuria and proteinuria with Tripterygium glycosides plus angiotensin-converting enzyme inhibitor (ACEI) plus Chinese medicine treatment, nephrotic syndrome using corticosteroids, immunosuppressive agents, anti-platelet aggregation, anticoagulant and traditional Chinese medicine combined treatment. Results: 33 cases were clinically cured, 37 cases were markedly effective, 17 cases were improved, 4 cases were ineffective, and the total effective rate was 95.60%. Conclusion: The treatment of idiopathic purpura nephritis by traditional Chinese and western medicine can achieve better curative effect.