|
|
Clinical study of Modified Shenqi Dihuang Decoction in the treatment of refractory primary nephrotic syndrome |
YU Xiaoyu1 ZHOU Min2 LU Dan1 QIU Xiaoling3 |
1.Department of Hemodialysis, Huludao Central Hospital, Liaoning Province, Huludao 125000, China;
2.Department Internal Medicine, Guangdong Hospital of Traditional Chinese Medicine, Guangdong Province, Guangzhou 510120, China;
3.Department of Nephrology, Huludao Central Hospital, Liaoning Province, Huludao 125000, China |
|
|
Abstract Objective To observe the clinical efficacy of Modified Shenqi Dihuang Decoction in the treatment of refractory primary nephrotic syndrome. Methods Sixty-eight patients with refractory primary nephrotic syndrome treated and hospitalized in Huludao Central Hospital from January 2015 to July 2017 were selected as research objects, and they were divided into control group and experimental group according to the random number table. The control group was given the basic treatment of western medicine, on basis of which, the experimental group was treated with Modified Shenqi Dihuang Decoction. The total course of both groups was 8 weeks. The urine protein, serum albumin, creatinine and urea nitrogen levels were compared between the two groups before and after treatment, and the differences of renal function indices and TCM syndrome scores were recorded. The data of the study was analyzed by SPSS 17.0. Results The levels of urinary protein quantitation for 24 hours, serum albumin, creatinine, urea nitrogen and TCM syndrome scores of the two groups after treatment were all significantly improved compared with those before treatment, the differences were statistically significant (P < 0.05). Compared with the control group, the renal function index and TCM syndrome score of the experimental group improved more significantly, the differences were statistically significant (P < 0.05). After treatment, the recurrence rate of the experimental group and the control group was 8.82% and 17.65% respectively, the difference was statistically significant (P < 0.05). Conclusion Modified Shenqi Dihuang Decoction can effectively improve renal function indices, reduce proteinuria and improve the clinical symptoms in patients with refractory primary nephrotic syndrome. The clinical value is worthy of in-depth exploration.
|
|
|
|
|
[1] Lombel RM,Gipson DS,Hodson EM. Treatment of steroid-sensitive nephrotic syndrome:new guidelines from KDIGO [J]. Pediatr Nephrol,2013,28(3):415-426.
[2] 孙雪峰,陈香美.他克莫司在原发性肾病综合征治疗中的应用[J].中国实用内科杂志,2008,28(5):323-325.
[3] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:158-160.
[4] 李丽英.核转录活性测定法研究黄芪当归及单组分对肾病鼠白蛋白基因的调控机制[J].中华肾脏病杂志,1997, 13(1):25-28.
[5] 谷进.黄芪、当归及蛋白质入量对肾病综合征大鼠蛋白质代谢作用的研究[D].北京:北京大学,1989.
[6] Kise T,Yoshimura H,Fukuyama S,et al. Successful treatment with mycophenol at emofetil and tacrolimus in juvenile severel upus nephritis [J]. Case Rep pediatr,2015,2015:651803.
[7] 徐刚.肾脏病患者血与尿硒含量变化及其临床意义[J].中华肾脏病杂志,1998,14(6):387-388.
[8] 王迪,张文风,张杰.黄芪配甘草对小鼠细胞免疫功能的影响[J].长春中医药大学学报,2006,22(3):42-43.
[9] 沈映君.中药药理学[M].上海:上海科学技术出版社,2004:115-120.
[10] 孙政华,邵晶,郭玫.党参化学成分及药理作用研究进展[J].安徽农业科学,2015(33):174-176.
[11] 杨占达,董桂英,赵文华.血府逐瘀汤药理作用及临床应用研究进展[J].实用中医药杂志,2017,33(9):1106-1108.
[12] 颜季华,王宜媛.红花黄色素氯化钠联合金水宝对原发性肾病综合征患者血脂及血液流变学的影响[J].广州中医药大学学报,2013,30(1):9-11.
[13] 李跃红.中西医结合治疗难治性肾病综合征的效果研究[J].中国现代医生,2016,54(31):22-24.
[14] 黄苗,王世东,肖永华,等.国医名师吕仁和应用中医药联合激素治疗原发性肾病综合征经验初探[J].环球中医药,2016,9(10):1265-1267.
[15] 董萍,安琳.参芪地黄汤治疗早期糖尿病肾病35例临床观察[J].天津中医药,2017,34(4):239-241.
[16] 肖辉标.参芪地黄汤加味联合激素序贯疗法治疗肾病综合征的临床研究[J].慢性病学杂志,2016,17(8):935-937.
[17] 闫璞,刘晓峰,王世东,等.吕仁和教授诊治糖尿病、糖尿病肾脏病及肾病综合征的常用药物分析[J].世界中医药,2017,12(1):30-33.
[18] 杨世霞,康娟.补阳还五汤联合环磷酰胺治疗儿童激素抵抗性肾病综合征23例[J].西部中医药,2017,30(4):99-101.
[19] 范德墉,马基康.环磷酰胺冲击疗法联合参芪地黄汤治疗成人难治性肾病综合征的临床研究[J].中华中医药学刊,2014,32(2):435-437.
[20] 吴波英,路智红,王文光,等.强的松、依那普利联合槐杞黄颗粒治疗儿童肾病综合征的疗效及对BUN、 Scr水平的影响[J].中国现代医生,2017,55(24):121-124.
[21] 刘磊,顾雪梅.参芪地黄汤加味联合西药治疗难治性肾病综合征临床研究[J].实用中医药杂志,2014,30(12):1137-1138.
[22] 王玲,洪虹,钟江,等.中成药辨证序贯联合激素治疗小儿肾病综合征[J].广东医学,2015,36(11):1761-1763.
[23] 韩晶晶,陈霞波,龚文波,等.参芪地黄汤联合缬沙坦治疗早期气阴两虚型糖尿病肾病的临床疗效观察[J].中华中医药学刊,2015,33(4):986-990.
[24] 张玥.中西医结合治疗肾病综合征临床疗效观察[J].世界中医药,2017,12(2):323-326.
[25] 汪永国.参芪地黄汤对难治性肾病综合征患者肾功能的影响[J].西部中医药,2016,29(5):76-78.
[26] 石新芳.参芪颗粒治疗肾病综合征临床疗效及降低激素毒副作用的机制探讨[J].中医药导报,2017,23(2):96-98.
[27] 张茵,银永革.肾病综合征的治疗进展[J].医学综述,2014,20(2):260-262. |
|
|
|