|
|
Effects of Sanjin Decoction combined with western medicine on renal function and oxidative stress level in obstructive nephropathy patients with syndrome of dampness-heat of liver and gallbladder |
JIANG Kun LIU Jun▲ FANG Yong |
Department of Urology and Nephrology, Bengbu Traditional Chinese Medicine Hospital, Anhui Province, Bengbu 233002, China |
|
|
Abstract Objective To investigate the effect of Sanjin Decoction combined with western medicine on renal function and oxidative stress level in obstructive nephropathy patients with syndrome of dampness-heat of liver and gallbladder. Methods A total of 165 patients with obstructive nephropathy treated in the Bengbu Traditional Chinese Medicine Hospital, Anhui Province from December 2018 to December 2021 were selected and divided into Sanjin Decoction group, western medicine group, and combined group by random number table method, with 55 cases in each group. All the three groups received surgery and conventional drug treatment, Sanjin Decoction group received Sanjin Decoction after surgery, western medicine group received Enalapril after surgery, combined group received Sanjin Decoction and Enalapril after surgery, the course of treatment was three months. The levels of blood urea nitrogen (BUN), serum creatinine (SCr), superoxide dismutase (SOD), malondialdehyde (MDA), and scores of short form 36 (SF-36), kidney disease-related quality of life scale before and after treatment were compared among the three groups. Results After treatment, BUN, SCr, and SOD of the three groups were lower than those before treatment, MDA, and scores of SF-36, kidney disease-related quality of life scale were higher than those before treatment. In addition, BUN, SCr, and SOD in combined group were lower than those in Sanjin Decoction group and western medicine group, MDA, and scores of SF-36, kidney disease-related quality of life scale were higher than those in Sanjin Decoction group and western medicine group, the differences were statistically significant (P<0.05). Conclusion Sanjin Decoction combined with western medicine can better protect renal function and inhibit oxidative stress in obstructive nephropathy patients with syndrome of dampness-heat of liver and gallbladder after surgery, which is worthy of clinical application.
|
|
|
|
|
[1] 郝娟.依普利酮抑制盐皮质激素受体活化减缓梗阻性肾病细胞自噬的研究[J].中国药理学通报,2020,36(2):256- 260.
[2] 张波,汝峰,陈湘,等.自噬通过抑制上皮间质转化减轻梗阻性肾病肾纤维化[J].中南大学学报:医学版,2021, 46(6):601-608.
[3] 张志华,赖彩永.梗阻性肾病肾纤维化的机制及影像学诊断的研究进展[J].国际泌尿系统杂志,2021,41(3):564- 567.
[4] 王文杰,张潍平,宋宏程,等.孤立肾并肾盂输尿管连接部梗阻的手术疗效分析[J].中华实用儿科临床杂志,2021, 36(5):351-354.
[5] 颜冰,孙毅海,付杰新,等.腹膜后腹腔镜手术与开放手术治疗肾盂输尿管连接部梗阻的效果比较[J].广西医学,2020,42(17):2210-2213.
[6] 陈胜,昝晓晨,刘云,等.评判上尿路结石术后继发慢性梗阻性肾病的风险性模型及其应用价值[J].西部医学,2018,30(2):271-275.
[7] 王田,洪欣,柳青,等.一期经尿道输尿管镜碎石术治疗输尿管结石继发隐匿性梗阻性肾积脓的疗效和安全性[J].中华泌尿外科杂志,2020,41(11):846-850.
[8] 梁群,张时浩,谢小玉,等.真武汤合五苓散加减联合西医常规方法治疗1例梗阻性肾病合并心力衰竭患者报告[J].中国中西医结合急救杂志,2022,38(5):621-623.
[9] 陈立祥,郝娟,熊云昭,等.益气活血解毒中药下调SGK-1表达抑制梗阻性肾病炎性损伤的研究[J].中华中医药杂志,2020,35(7):3372-3375.
[10] 邱云桥,李信平,刘鸿,等.三金汤加味联合穴位指压治疗输尿管膀胱壁内段结石71例临床观察[J].河北中医,2013,35(2):206-207.
[11] 邵启峰.四君三金汤辅助治疗脾虚肝郁型胆结石临床疗效[J].陕西中医,2017,38(3):324-325.
[12] 顾连方.梗阻性肾病的诊断及治疗[J].中华肾脏病杂志,1994,10(4):243-245.
[13] 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,2002:346-349.
[14] 许雅婷,赵惠芬,吴静华,等.KDQOL-SFtm1.3量表对维持性血液透析患者生活质量的评价分析[J].福建医药杂志,2020,42(2):127-131.
[15] 李俊,章福彬,韦兵,等.慢性梗阻性肾病患者继发终末期肾病的风险性及相关危重度研究[J].海南医学,2017, 28(18):2936-2940.
[16] 叶小峰,王晶,钱鑫,等.陷胸三金汤对ERCP术后胆管炎的疗效及对TNF-α、IL-6、IL-8水平影响[J].四川中医,2021,39(1):97-100.
[17] 郝春媛,李霞,张芙蓉,等.沙库巴曲缬沙坦和依那普利对心力衰竭患者心血管标志物影响的对比研究[J].中国循证心血管医学杂志,2021,13(10):1186-1190.
[18] 单朝双.自拟二石三金汤加减治疗肾结石82例临床观察[J].浙江中医杂志,2013,48(7):502.
[19] 张薇,邹移海,陈嘉,等.三金汤防治化学纯三聚氰胺尿结石及对肾脏保护作用的研究[J].热带医学杂志,2012, 12(4):436-439,477.
[20] 陈琇萌,肖洁,梁卓寅.尿毒清颗粒治疗梗阻性肾病术后患者的临床观察[J].中国医师进修杂志,2013,36(28):67-69.
[21] 王楠,顾笑妍,吴怡,等.鸡内金的临床应用及药理作用研究概况[J].江苏中医药,2021,53(1):77-81.
[22] Wang N,Zhang D,Zhang YT,et al. Endothelium corneum gigeriae galli extract inhibits calcium oxalate formation and exerts anti-urolithic effects [J]. J Ethnopharmacol,2019, 231(1):80-89.
[23] 蒋长兴,蒋顶云,熊清平,等.鸡内金多糖对高脂血症大鼠血脂、血液流变学及氧化应激指标的影响[J].中药药理与临床,2012,28(5):75-78.
[24] 马越,畅洪昇.石韦的临床应用和药理研究[J].江西中医学院学报,2011,23(4):87-90.
[25] 李钰艳,吴艳,喻荷淋,等.依那普利联合苯磺酸氨氯地平对糖尿病肾病伴高血压患者血清炎性因子及肾功能的影响[J].疑难病杂志,2021,20(8):1199-1202. |
|
|
|