防己黄芪汤加减治疗原发性肾病综合征水肿期的疗效分析(1)
摘 要：目的 對原发性肾病综合征水肿期患者接受防己黄芪汤加减治疗的临床效果，为临床中医用药治疗提供依据。 方法 根据2016年1月～12月我院接收的原发性肾病综合征水肿期患者36例开展研究，将患者按照数字随机法分成对照组和观察组，每组18例。为对照组患者提供常规西医治疗方式，为观察组患者提供常规西医治疗和黄芪汤增减治疗，对两组的治疗有效率，治疗前后24 h尿蛋白定量进行对比。 结果 治疗后对照组有效率70.00%，低于观察组95.00%。差异有统计学意义(P<0.05)，对照组治疗前24 h尿蛋白定量(1.36±0.24)g/L，治疗后(0.64±0.13)g /24 h，观察组治疗前为(1.38±0.28)g/L，治疗后为(0.22±0.14)g/24 h；两组治疗前对比，差异无统计学意义(P>0.05)，两组治疗后对比，差异有统计学意义(P<0.05)。结论 原发性肾病综合征水肿期患者接受防己黄芪汤加减治疗效果明显，安全可靠，患者的水肿期症状得到缓解。
关键词：原发性肾病综合征；防己黄芪汤加减；水肿期
, 百拇医药
中图分类号：R256.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.048
文章编号：1006-1959(2018)12-0151-02
Abstract：Objective To evaluate the clinical effect of the treatment of patients with edema of nephritic syndrome treated with decoction of Fangji Huangyu Decoction，and to provide evidence for the clinical treatment of medical drugs.Methods 36 patients with edema stage of nephrotic syndrome received in our hospital from January to December in 2016 were studied.The patients were divided into control group and observation group according to the digital randomization method.Each group contained 18 cases，patients in the control group were provided with routine western medicine treatment.To provide routine western medicine treatment and Huangqi Decoction for the observation group，the effective rate of the two groups was compared，and the urine protein level of 24 h before and after treatment was compared.Results The effective rate of the control group after treatment was 70.00%，which was lower than the observation group 95.00%，the difference was statistically significant(P<0.05).The 24 h urine protein in the control group was (1.36±0.24)g/L before treatment and(0.64±0.13)g/24 h after treatment.The observation group was(1.38±0.28)g/L before treatment and (0.22±0.14)g/24 h after treatment.There was no significant difference between the two groups before treatment(P>0.05)，and there was a significant difference between the two groups after treatment(P<0.05).Conclusion The treatment of patients with nephrotic syndrome during edema stage is effective，safe and reliable，and the symptoms of edema period are relieved.
, 百拇医药
Key words：Nephrotic syndrome；Fangji Huangqi decoction；Edema phase
原发性肾病综合征(nephrotic syndrome， NS)的临床症状主要就是低蛋白血症、水肿、高血脂等[1]。原发性肾病综合征在临床中的发病群体主要是儿童和中青年，对于该疾病的发病机制目前尚不清楚。肾病综合征分为继发性和原发性两类，目前主要采取中西医结合方式[2]。此次我院就防己黄芪汤加减治疗对于该疾病的临床治疗效果，并对部分患者进行了对比研究分析，现进行以下报道。
1资料与方法
1.1一般资料 选取2016年1月～12月佳木斯市中医院对40例原发性肾病综合征水肿期患者研究分析，将患者按数字随机法分成对照组和观察组，每组20例。对照组男性11例，女性9例，年龄2～35岁，平均年龄(17.01±6.02)岁，病程2～11年，平均病程(5.21±0.21)年。观察组男性12例，女性8例，年龄2～36岁，平均年龄(18.20±6.01)岁，病程1.5～12年，平均病程(5.33±0.52)年。两组的一般资料对比，差异无统计学意义(P>0.05)，可进行比较。, http://www.100md.com(何丽杰)
关键词：原发性肾病综合征；防己黄芪汤加减；水肿期
, 百拇医药
中图分类号：R256.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.048
文章编号：1006-1959(2018)12-0151-02
Abstract：Objective To evaluate the clinical effect of the treatment of patients with edema of nephritic syndrome treated with decoction of Fangji Huangyu Decoction，and to provide evidence for the clinical treatment of medical drugs.Methods 36 patients with edema stage of nephrotic syndrome received in our hospital from January to December in 2016 were studied.The patients were divided into control group and observation group according to the digital randomization method.Each group contained 18 cases，patients in the control group were provided with routine western medicine treatment.To provide routine western medicine treatment and Huangqi Decoction for the observation group，the effective rate of the two groups was compared，and the urine protein level of 24 h before and after treatment was compared.Results The effective rate of the control group after treatment was 70.00%，which was lower than the observation group 95.00%，the difference was statistically significant(P<0.05).The 24 h urine protein in the control group was (1.36±0.24)g/L before treatment and(0.64±0.13)g/24 h after treatment.The observation group was(1.38±0.28)g/L before treatment and (0.22±0.14)g/24 h after treatment.There was no significant difference between the two groups before treatment(P>0.05)，and there was a significant difference between the two groups after treatment(P<0.05).Conclusion The treatment of patients with nephrotic syndrome during edema stage is effective，safe and reliable，and the symptoms of edema period are relieved.
, 百拇医药
Key words：Nephrotic syndrome；Fangji Huangqi decoction；Edema phase
原发性肾病综合征(nephrotic syndrome， NS)的临床症状主要就是低蛋白血症、水肿、高血脂等[1]。原发性肾病综合征在临床中的发病群体主要是儿童和中青年，对于该疾病的发病机制目前尚不清楚。肾病综合征分为继发性和原发性两类，目前主要采取中西医结合方式[2]。此次我院就防己黄芪汤加减治疗对于该疾病的临床治疗效果，并对部分患者进行了对比研究分析，现进行以下报道。
1资料与方法
1.1一般资料 选取2016年1月～12月佳木斯市中医院对40例原发性肾病综合征水肿期患者研究分析，将患者按数字随机法分成对照组和观察组，每组20例。对照组男性11例，女性9例，年龄2～35岁，平均年龄(17.01±6.02)岁，病程2～11年，平均病程(5.21±0.21)年。观察组男性12例，女性8例，年龄2～36岁，平均年龄(18.20±6.01)岁，病程1.5～12年，平均病程(5.33±0.52)年。两组的一般资料对比，差异无统计学意义(P>0.05)，可进行比较。, http://www.100md.com(何丽杰)