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目的:研究中西医结合综合治疗阿拉伯国家慢性肾脏病(CKD)患者的临床疗效。方法:选取2010年1月至2015年11月本院收治的阿拉伯国家CKD患者189例,按照随机数字表法将患者分为I组(95例)和II组(94例),I组给予中西医结合联合血液净化综合治疗,II组给予血液净化和中药外敷治疗,2组均治疗2个月,比较2组治疗前、后肌酐(Scr)、尿素氮(BUN)、尿酸(UA)、肾小球滤过率(e GFR)、24 h尿蛋白定量、白蛋白及中医症状积分。结果:I组总有效率为62.1%显著高于II组的52.1%,2组比较差异有显著性(P<0.05);治疗后2组Scr、BUN、UA、24 h尿蛋白定量均明显降低,e GFR、白蛋白明显升高,与治疗前比较差异有显著性(P<0.05);2组治疗后中医症状积分显著降低,与治疗前比较差异有显著性(P<0.05),且I组显著低于II组,差异有显著性(P<0.05)。结论:中西医结合综合治疗阿拉伯国家CKD具有较好的临床疗效。
Objective: To study the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of patients with chronic kidney disease (CKD) in Arab countries. Methods: A total of 189 patients with CKD in our hospital from January 2010 to November 2015 were selected and divided into group I (95 cases) and group II (94 cases) according to random number table method. Groups I Western medicine combined with blood purification combined treatment, blood purification group II and external application of traditional Chinese medicine treatment, two groups were treated for 2 months, before and after treatment in two groups, compared creatinine (Scr), blood urea nitrogen (BUN), uric acid (UA) E GFR, 24 h urinary protein, albumin and TCM symptoms. Results: The total effective rate of group I was 62.1%, which was significantly higher than that of group II 52.1% (P <0.05). The urinary protein levels of Scr, BUN, UA and 24 h in two groups were significantly decreased after treatment , eGFR and albumin were significantly higher than those before treatment (P <0.05). After treatment, symptom scores of TCM symptoms were significantly decreased in both groups (P <0.05), and I Group was significantly lower than the group II, the difference was significant (P <0.05). Conclusion: Integrated Chinese and Western medicine treatment of CKD in Arab countries have good clinical efficacy.