养阴益气汤联合吗替麦考酚酯胶囊治疗IgA肾病临床观察
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Clinical Observation of Yangyin Yiqi Tang Combined with Mycophenolate Mofetil Capsules for IgA Nephropathy
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    摘要:

    目的:观察养阴益气汤联合吗替麦考酚酯胶囊治疗IgA肾病的临床疗效。方法:将90例IgA肾病患者随机分为观察组和对照组各45例。对照组采用吗替麦考酚酯胶囊治疗,观察组在对照组用药基础上加用养阴益气汤。观察2组治疗前后肾功能相关指标、尿红细胞及血液流变学指标的变化,比较2组临床疗效。结果:治疗后,2组血肌酐(SCr)、尿素氮(BUN)、24 h尿蛋白定量(24 hUP)及尿红细胞均较治疗前减低,内生肌酐清除率(CCr)均较治疗前增高,差异均有统计学意义(P<0.05);观察组SCr、BUN、24 hUP及尿红细胞均低于对照组,CCr高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组全血黏度(高切、低切)、血浆黏度、红细胞聚集指数及纤维蛋白原均较治疗前改善(P<0.05);对照组上述指标均未改善,差异无统计学意义(P<0.05)。观察组治疗总有效率91.1%,对照组治疗总有效率75.6%,2组比较,差异有统计学意义(P<0.05)。结论:养阴益气汤联合吗替麦考酚酯胶囊能有效改善IgA肾病患者的肾功能及血液流变学指标,疗效确切。

    Abstract:

    Objective:To observe the clinical effect of Yangyin Yiqi tang combined with mycophenolate mofetil capsulesfor IgA nephropathy.Methods:Divided 90 cases of patients with IgA nephropathy into the observation group and the control group randomly,45 cases in each group.The control group was given mycophenolate mofetil capsules for treatment,while the observation group was additionally given Yangyin Yiqi tang for treatment.Observed the changes of related indexes of renal function,urine erythrocyte and hemorheology indexes in two groups before and after treatment,and compared the clinical effect of two groups.Results: After treatment, serum creatinine(SCr), urea nitrogen(BUN), 24-h urinary protein quantification(24 hUP)and urine erythrocyte of two groups were all decreased when compared with those before treatment,while endogenous creatinine clearance(CCr)was increased when compared with that before treatment,differences being significant(P<0.05).SCr,BUN,24 hUP and urine erythrocyte of the observation group were all lower than those of the control group,while the CCr was higher than that of the control group,differences being significant(P<0.05).After treatment,whole blood viscosity(high shear,low shear),plasma viscosity,erythrocyte aggregation index and fibrinogen of the observation group were all improved when compared with those before treatment(P<0.05),while the aforesaid indexes of the control group were not improved,difference being insignificant(P<0.05).The total effective rate was 91.1%in the observation group and was 75.6%in the control group,difference being significant(P<0.05).Conclusion:The therapy of Yangyin Yiqi tang combined with mycophenolate mofetil can effectively improve renal function and hemorheology indexes of patients with IgA nephropathy,and has significant effect.

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吴昊,徐惠,王丽霞.养阴益气汤联合吗替麦考酚酯胶囊治疗IgA肾病临床观察[J].新中医,2018,50(5):65-68

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  • 在线发布日期: 2018-05-03
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