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目的观察中西医结合方法治疗原发性肾病综合征(PNS)的疗效。方法将78例PNS患者随机分为对照组A(强的松)、治疗组B(强的松加肾复康),观察临床疗效。统计学分析:计数资料用χ2检验,等级资料用秩和检验,计量资料用-x±s表示,t检验。结果两种治疗方法均取得了明显的疗效,B组的疗效明显优于A组(F=555,P<0.01),A、B两组治疗后24 h尿蛋白定量、血浆白蛋白和血胆固醇三项指标经t检验,差异有统计学意义(t分别为7.88、2.76和3.26,P均<0.01),且中西医结合疗法的副作用明显比单纯西药疗法的少而轻(χ2=7.80,P<0.01)。结论中西医结合治疗优于单纯西医治疗。肾复康与强的松有协同作用,提高疗效、能降低尿蛋白、升高血浆白蛋白、减少副作用。
Objective To observe the curative effect of integrated traditional Chinese and western medicine on primary nephrotic syndrome (PNS). Methods 78 patients with PNS were randomly divided into control group A (prednisone), treatment group B (prednisone plus kidney rehabilitation), to observe the clinical effect. Statistical analysis: Counting data with χ2 test, grade data using rank sum test, measurement data with-x ± s said, t test. Results The curative effects of both treatments were obvious. The curative effect of group B was better than that of group A (F = 555, P <0.01). The levels of urinary protein, serum albumin and blood cholesterol The three indicators by t test, the difference was statistically significant (t were 7.88,2.76 and 3.26, P <0.01), and the side effects of traditional Chinese and Western medicine treatment was significantly less than the Western medicine and light (χ2 = 7.80, P <0.01). Conclusion The combination of traditional Chinese and western medicine is better than western medicine alone. Renal Rehabilitation and prednisone synergy to improve the curative effect, can reduce urinary protein, elevated plasma albumin, reduce side effects.