关键词 肾病综合征；肾炎，紫癜性；中西医结合疗法；儿童

    摘要 目的 观察儿童肾病综合征型紫癜性肾炎中西医结合治疗疗效。方法 将我院近5年来84例肾病综合征型紫癜性肾炎随机分为观察组38例，采用中西医结合治疗。对照组46例，采用常规治疗，对二组疗效进行比较。结果 观察组有效率为92.1%,疗效优于对照组76.5%(P<0.05),副作用发生率为18.4%，小于对照组的34.8%(P<0.05)。观察组治疗前后24h尿蛋白定量、血清白蛋白差异均有统计学意义,且明显优于对照组(P<0.01)。结论 对肾病综合征型紫癜性肾炎可采取中西医结合治疗，增强疗效，减少药物副作用。

    CLINICAL ANALYSIS OF COMBINED TREATMENT OF TRADITIONAL CHINESE WITH WESTERN MEDICINE IN CHILDREN'S NEPHROTIC SYNDROME PURPURIC NEPHRITIS：A REPORT OF 84 CASES

    Dai Xianguo,Zhong Wenqi,Liu Zhihua.

    Department of Paediatrics,The First Clinical Medical College of China Three Gorges University, Yichang 443003,China

    Key words nephrotic syndrome; nephritis, purpuric; combined treatment of traditional Chinese medicine and western medicine

    Abstract Objective To investigate the therapeutic effect of combined treatment of traditional Chinese with western medicine on children's nephrotic syndrome purpuric nephritis. Methods 84 cases with nephrotic syndrome purpuric nephritis were divided randomly into treatment group and control group.38 cases in treatment group were treated by combined treatment of traditional Chinese with western medicine；46 cases in control group were treated only by western medicine. Results The effective rate in treatment group was 92.1%, which was significantly higher than that(76.5%)in control group(P<0.05). the side effect in treatment group was 18.4%, which was significantly lower than that(34.8%)in control group(P<0.05).There was significant difference in urinary protein of 24hr pro serum albumine before and after treatment, which was superior to those in control group (P<0.01). Conclusion The effect of combined treatment of traditional Chinese with western medicine is obviously superior to that of western medicine alone in improving prognosis of children's nephrotic syndrome purpuric nephritis and decreasing the incidence of adverse effect. ......