百令片联合西医常规治疗慢性肾小球肾炎疗效观察及对血清β2-MG、Cys-C、RBP 水平的影响
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Observation on Curative Effect of Bailing Tablets Combined with Conventional Western Medicine for Chronic Glomerulonephritis and Its Effect on Levels of β2-MG,Cys-C,and RBP in Serum
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    摘要:

    目的:观察百令片联合西医常规治疗慢性肾小球肾炎(CGN) 临床疗效及对血清β2 微球蛋 白(β2-MC)、胱抑素C(Cys-C) 及视黄醇结合蛋白(RBP) 水平的影响。方法:将82例肺肾气虚型CGN患者 按随机数字表法分为治疗组与对照组各82例。对照组给予口服氯沙坦钾等西医常规治疗,治疗组在对照组基 础上加用百令片治疗。治疗12周后,比较2组临床疗效、中医证候评分、肾功能指标[血清肌酐(SCr)、血尿 素氮(BUN)、24 h尿蛋白定量(24hUpro)、肾小球滤过率(GFR)] 及血清β2-MC、Cys-C、RBP水平。结 果:治疗后,治疗组总有效率为95.12%,对照组为80.49%,2组比较,差异有统计学意义(P<0.05)。治疗 后,2组中医证候评分均较治疗前降低(P<0.05),且治疗组中医证候评分低于对照组(P<0.05)。治疗后, 2组SCr、BUN、24hUpro水平较治疗前降低(P<0.05),GFR水平较治疗前升高(P<0.05);且治疗组SCr、 BUN、24hUpro 水平低于对照组(P<0.05),GFR 水平高于对照组(P<0.05)。治疗后,2 组血清β2-MC、 Cys-C、RBP水平较治疗前降低(P<0.05),且治疗组上述3项指标均低于对照组(P<0.05)。结论:百令片联 合西医常规治疗CGN肺肾气虚型疗效确切,可有效缓解患者临床症状,下调血清β2-MC、Cys-C、RBP水平, 减少24 h尿蛋白排泄,改善肾功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Bailing Tablets combined with conventional western medicine for chronic glomerulonephritis (CGN) and its effect on levels of β2 microglobulin (β2-MG), cystatin C (Cys-C), and retinol-binding protein (RBP) in serum. Methods: A total of 82 CGN patients of lung-kidney qi deficiency type were divided into the treatment group and the control group according to the random number table method, with 82 cases in each group. The control group was given conventional western medicine treatment such as oral administration of Losartan Potassium, and the treatment group was treated with Bailing Tablets based on the treatment of the control group. After 12 weeks of treatment, the clinical effects , traditional Chinese medicine (TCM) syndrome scores , and levels of kidney function indicators [serum creatinine (SCr), blood urea nitrogen (BUN), 24-hour urine protein (24hUpro), glomerular filtration rate (GFR)] and β2-MC, Cys-C and RBP in serum were compared between the two groups. Results:After treatment,the total effective rate was 95.12% in the treatment group,and 80.49% in the control group,the difference being significant (P<0.05). After treatment,the TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05), and the TCM syndrome scores in the treatment group were lower than those in the control group (P<0.05). After treatment,the levels of SCr,BUN,and 24hUpro in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of GFR were increased when compared with those before treatment (P<0.05);the levels of SCr,BUN,and 24hUpro in the treatment group were lower than those in the control group (P<0.05), and the level of GFR was higher than that in the control group (P<0.05). After treatment,the levels of β2-MG,Cys-C,and RBP in serum were decreased when compared with those before treatment (P<0.05),and the above three indicators in the treatment group were lower than those in the control group (P<0.05). Conclusion: Bailing Tablets combined with conventional western medicine has a definite curative effect in treating CGN of lung-kidney qi deficiency type, which can effectively alleviate clinical symptoms , lower levels of β2-MG , Cys-C , and RBP in serum , reduce 24-hour urinary protein excretion and improve kidney function.

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朱军军,胡邵宁,雷丽倩,陈欢,周艳.百令片联合西医常规治疗慢性肾小球肾炎疗效观察及对血清β2-MG、Cys-C、RBP 水平的影响[J].新中医,2024,56(14):85-89

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  • 在线发布日期: 2024-07-28
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