从脾论治早中期糖尿病肾病临床观察
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云南中医学院第一附属医院,云南昆明650021

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中图分类号:R2554文献标志码:A

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基金项目:云南省教育厅课题(NO:09C0151)收稿日期:2010—10—03修回日期:2010—11—01作者简介:杜义斌(1968),男,云南梁河人,副主任医师、副教授,硕士研究生导师,主要从事中西医结合老年病临床、科研及教学工作。


Clinical Observation on Treating Early and Metaphase Diabetes Nephropathy Through Cure the Spleen of TCM
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The first Affiliated Hospital of Yunnan University of TCM,Kunming Yunnan 650021

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    摘要:

    目的:观察从脾论治早、中期糖尿病肾病的疗效。方法:选择2型糖尿病肾病ⅢⅣ期伴高血压的患者88例,分为治疗组45例和对照组43例。两组均采用西医常规治疗方法,治疗组加用中药治疗。疗程为1个月。结果:①治疗组临床疗效总有效率高于对照组(P<005)。②治疗组治疗后乏力气短,口干多饮,心烦失眠症状改善明显,总有效率高于对照组(P<005);两组多食、多尿症状改善比较差异不显著(P>005)。③治疗组治疗后UAER较治疗前下降(P<001),对照组较治疗前下降(P<005);治疗后治疗组UAER较对照组下降更明显(P<005)。结论:中医从脾论治方药能改善早中期DN临床症状,减少UAER,较之西医常规治疗效果更好。“从脾论治糖尿病肾病”理论具有临床意义。

    Abstract:

    Objective:Observe the TCM therapy of“cure the spleen”curative effects of diabetic nephropathy in earlier and intermediate stage.Methods:There are 88 patients who suffer from Type 2 diabetes nephritics in Ⅲ-Ⅳ period and hypertension.The 88 patients are divided randomly into treat group and control group,the treat group have 45 subjects, and control group have 43 subjects.Tow groups are equally afforded by diabetesroutine treatment.Meanwhile, treat group is based on it and add to the traditional Chinese medicine treat for one month. Results:①The genera effective rate in the treat group is better to control group(P<005)②The treat group has a good effect on abate the symptoms as thirsty,drinks,upset,and insomnia.Compared with control group,the total effective rate of treat group are better(P<005);But more feed and more urinary symptoms improved comparative differences were not significant between tow groups(P>005).③The UAER declined after treatment than before in treat group(P<001),and The UAER declined after treatment than before in control group(P<005);After treatment,the UAER in treat group dropped more obvious than control group(P<005).Conclusion:Traditional Chinese medical therapy though“cure the spleen”improved the symptoms and UAER of diabetic nephropathy in earlier and intermediate stage obtained better curative effects than routine Western medicine treatment.There is a good clinical value of Traditional Chinese medicine in treating diabetic nephropathy though“cure the spleen”.

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