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目的:观察健脾滋肾开郁散结中药治疗糖尿病肾病的临床疗效。方法:将84例糖尿病肾病患者随机分为治疗组与对照组各42例,对照组患者给予控制血糖、血压、调节血脂等常规治疗;治疗组在对照组常规治疗的基础上加用健脾滋肾开郁散结中药进行治疗,30天为1个疗程,持续治疗2个疗程。观察两组患者治疗前后临床疗效以及空腹血糖、餐后2小时血糖、尿微量白蛋白、24小时尿蛋白定量、血清肌酐的变化。结果:治疗组和对照组临床疗效总有效率分别为85.7%和61.4%,治疗组优于对照组(P<0.05);治疗组空腹血糖、餐后2小时血糖、尿微量白蛋白及24小时尿蛋白定量均有显著降低(P<0.05),血肌酐也明显改善(P<0.05),治疗组优于对照组(P<0.05)。结论:健脾滋肾开郁散结法能够有效降低糖尿病肾病患者空腹血糖及餐后2小时血糖,减少尿微量白蛋白及24小时尿蛋白定量,改善肾功能,可有效延缓慢性肾衰的病程。
Objective: To observe the clinical efficacy of Jianpi Zishen Kaiyu Sanjie Chinese medicine in the treatment of diabetic nephropathy. Methods: Eighty-four patients with diabetic nephropathy were randomly divided into treatment group (n = 42) and control group (n = 42). Patients in the control group were given conventional therapy such as blood glucose control, blood pressure, blood lipid regulation. On the basis of conventional treatment in the control group, Kidney Kai Yu Sanjie medicine for treatment, 30 days for a course of treatment, continuous treatment of 2 courses. The clinical efficacy, fasting blood glucose, postprandial blood glucose, urine microalbuminuria, 24-hour urine protein and serum creatinine were observed before and after treatment. Results: The total effective rates of the treatment group and the control group were 85.7% and 61.4% respectively, which were better than those of the control group (P <0.05); fasting blood glucose, 2-hour postprandial blood glucose, urine microalbuminuria and 24 hours Urine protein content was significantly lower (P <0.05), serum creatinine was also significantly improved (P <0.05), the treatment group was better than the control group (P <0.05). Conclusion: The therapy of invigorating the spleen, invigorating the kidney and opening up the yuzheng powder can effectively reduce the fasting blood glucose, 2-hour postprandial blood glucose in patients with diabetic nephropathy, reduce the urinary microalbuminuria and 24-hour urinary protein, improve renal function, delay the course of chronic renal failure .