程氏萆薢分清饮治疗尿酸性肾病的临床观察*
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(1. 南京中医药大学南通附属医院,江苏 南通226001;2. 江苏省中医院,江苏 南京 210004 ;3. 启东市中医院,江苏 启东 226200)

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R277.5

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收稿日期: 2022 - 03- 06
基金项目: 南通市卫生和计划生育委员会科研课题项目(MB2021034);南通市市级科技计划项目(MSZ19213);南通市中医医疗联盟课题项目(TZYK202002)
第一作者简介: 李晓倩(1987-),女,硕士,副主任中医师,研究方向:肾脏、风湿疾病中西医治疗。
通信作者: 纪伟,E-mail: jiweitong@hotmail.com


Clinical Observation on the Treatment of Uric Acid Nephropathy with Cheng?蒺s Bixiefenqing Decoction
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(1. Nantong Hospital Affiliated to Nanjing University of Chinese Medcine, Nantong 226001, China;2. Jiangsu Province Hospital of Chinese Medicine, Nanjing 210004, China;3. Qidong Hospital of Traditional Chinese Medicine, Qidong 226200, China)

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    摘要:

    目的探讨程氏萆薢分清饮对尿酸性肾病(UAN)患者肾小管功能的影响。方法 将我院60例湿浊瘀阻型UAN患者随机分为对照组30例和试验组30例。对照组给予非布司他降尿酸治疗,试验组加用程氏萆薢分清饮治疗,观察4周后2组患者的总有效率,肾功能指标血清尿酸(UA)、尿素氮(BUN)、肌酐(SCr)以及胱抑素C(Cys-C)水平以及肾小管功能指标尿载脂蛋白(NGAL)水平、尿α1微球蛋白(α1-MG)水平、尿N-乙酰-β-D-氨基葡萄糖苷酶(NAG)水平的变化。结果 试验组总有效率显著高于对照组(P<0.05)。试验组治疗后的 BUN及Cys-C水平较对照组治疗后显著降低(P<0.05)。试验组治疗后的NGAL、α1-MG、NAG水平均较对照组治疗后显著降低(P<0.05)。治疗期间2组无明显药物不良反应。结论 程氏萆薢分清饮联合非布司他治疗湿浊瘀阻型UAN,能有效改善患者肾功能及肾小管功能指标,其疗效优于单纯非布司他组,且不良反应少,安全可靠。

    Abstract:

    Objective To investgate the effect of Cheng?蒺s Bixiefenqing Decoction on renal tube function in UAN. Methods Sixty UAN patients with dampness and turbidite stasis type were selected and randomly divided into two groups, the control group and the experimental group, each group has 30 cases. The control group was given routine treatment of febuxostat, and the experimental group was given Cheng?蒺s Bixiefenqing Decoction on the basis of control group. After four weeks of treatment, the serum UA, SCr, BUN, Cys-C levels and urine NGAL, α1-MG, NAG levels were detected. Results The total effective rate of experimental group was significantly higher than that of control group(P<0.05). The levels of serum UA, SCr, BUN and Cys-C levels of the two groups were significantly lower than before the treatment(P<0.05). And the BUN and Cys-C levels of experimental group were significantly lower than those of control group after treatment(P<0.05). The levels of urine NGAL, α1-MG and NAG of the two groups were significantly lower than those before treatment (P<0.05). There were no obvious adverse reactions in the two groups during the treatment. Conclusion Cheng?蒺s Bixiefenqing Decoction can effectively improve kidney function and renal tubule function in UAN patients with dampness and turbidite stasis type, which has definite clinical effect and good safety.

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