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目的 观察中西医结合治疗原发性肾病综合征的临床疗效。方法 76例患者随机分为两组治疗 ,治疗组 39例用激素和中药治疗 ,对照组单用激素治疗 ,观察两组在利尿、消肿、血压以及尿蛋白、血浆白蛋白、血脂、肾功能等方面的变化及不良反应。结果 治疗组总有效率 (95 % )显著高于对照组 (79% ,P <0 0 5 ) ;在改善尿蛋白、血浆白蛋白、血脂、肾功能等方面治疗组均优于对照组 (P <0 0 5 ) ;复发率和不良反应发生率在治疗组和对照组分别为 8%和 2 8% ,治疗组显著低于对照组 (P <0 0 5 )。结论 中西医结合治疗原发性肾病综合征较单纯激素治疗有明显优越性。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of primary nephrotic syndrome. Methods 76 patients were randomly divided into two groups. The treatment group was treated with hormone and Chinese herbs. The control group was treated with hormone alone. The two groups were treated with diuretic, detumescence, blood pressure, urine protein, serum albumin, And other aspects of changes and adverse reactions. Results The total effective rate (95%) in the treatment group was significantly higher than that in the control group (79%, P <0 05). The treatment group was superior to the control group in improving urine protein, serum albumin, blood lipid and renal function <0 0 5). The recurrence rate and incidence of adverse reactions in the treatment group and control group were 8% and 28%, respectively, which were significantly lower in the treatment group than those in the control group (P <0.05). Conclusion Traditional Chinese and Western medicine treatment of primary nephrotic syndrome than simple hormone therapy has obvious advantages.