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目的 :探究参芪汤加减真武汤联合西药对于冠心病合并肾病患者的影响。方法 :将140例冠心病合并肾病患者随机分成两组,分别为西药治疗组及中西医结合组。西药治疗组患者予倍他乐克及阿托伐他汀片口服,中西医结合组患者在西药治疗组的基础上予参芪汤加减真武汤口服,分别对两组患者进行为期3周的连续治疗。对治疗前后两组患者的中医症状积分、CRP、FI、Scr、MA、BUN含量及治疗后的临床疗效进行差异性研究。结果 :治疗后两组患者在中医症状积分、CRP、FI、Scr、MA、BUN含量等方面均明显好于治疗前,且中西医结合组的好转程度较西药治疗组更为明显;而治疗后中西医结合组的临床疗效亦明显高于西药治疗组,差异均具有统计学意义(P<0.05)。结论 :参芪汤加减真武汤联合西药治疗可有效改善冠心病合并肾病患者的心肾功能,对于治疗冠心病合并肾病具有很好的治疗作用,可广泛应用于临床治疗中。
Objective: To investigate the effect of Shenqi Decoction and Zhenwu Decoction combined with western medicine on patients with coronary heart disease complicated with nephropathy. Methods: 140 cases of coronary heart disease with nephropathy were randomly divided into two groups, namely Western medicine treatment group and Integrative Medicine group. Patients in western medicine group were treated with metoprolol and atorvastatin tablets orally. Patients in integrated traditional Chinese and western medicine group were treated with Shenqi Decoction and Zhenwu Decoction orally on the basis of western medicine treatment group, and the patients in both groups were given continuous treatment for 3 weeks . The difference of TCM symptom score, CRP, FI, Scr, MA, BUN content and clinical efficacy after treatment between the two groups before and after treatment were studied. Results: After treatment, the scores of TCM symptom score, CRP, FI, Scr, MA and BUN were significantly better than those before treatment, and the improvement of TCM-WM group was more obvious than that of western medicine treatment group. After treatment The clinical efficacy of the combination of traditional Chinese and Western medicine was also significantly higher than the western medicine group, the difference was statistically significant (P <0.05). Conclusion: Shenqi Decoction Zhenwu Decoction combined with Western medicine can effectively improve the heart and kidney function in patients with coronary heart disease complicated with nephropathy, which has a good therapeutic effect on the treatment of coronary heart disease with nephropathy and can be widely used in clinical treatment.