引火归元法治疗小儿紫癜性肾炎血尿(肝肾阴虚证)的疗效研究
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四川省中医药管理局项目(2012B075)——少阴经府特色辨证治疗紫癜性肾炎诊疗方案的研究


Study on Clinical Effect of “Guiding Fire to Origin Method” in Treating Children with Hematuresis Caused by Henoch-Schonlein Purpura Nephritis(Syndrome of liver and kidney yin deficiency)
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    摘要:

    目的:探讨引火归元法治疗儿童紫癜肾炎血尿(肝肾阴虚证)的临床疗效。方法:选取2015年10月至2016年12就诊于成都中医药大学附属医院门诊的符合纳入标准和诊断标准的3~18岁患儿80例,随机分为观察组和对照组,每组40例。观察组给予自拟方新知柏地黄汤治疗,对照组给以知柏地黄汤原方治疗,持续治疗8周,观察2组患儿在治疗前和治疗后血尿、中医证候的变化。结果:2组方药对患儿隐血、尿红细胞计数及改善中医证候都有疗效,且观察组的疗效明显优于对照组(P<0.05)。结论:新知柏地黄汤治疗小儿紫癜性肾炎血尿(肝肾阴虚证)取得了较好的临床疗效,且无明显不良反应,说明引火归元法治疗小儿紫癜性肾炎疗效肯定,值得推广。

    Abstract:

    To discuss the clinical effect of “guiding fire to origin method” treating children with Henoch-Schonlein purpura nephritis hematuresis(Syndrome of liver and kidney yin deficiency).Methods:The 80 cases of children,with HSPN in accordance with the inclusive criteria,selected from Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from October 2015 to December were divided into the experiment group and the control group by the proportion of 1:1.The experiment group were treated with New Zhibo Dihuang decoction,and the control group were treated with original Zhibo Dihuang decoction,8 weeks for the treating,then TCM symptom score and hematuresis befor and after the treatment in the two groups were observed.Results:There is also a statistically significant difference between the experient group and the control group on curative effect of TCM syndrome,hematuresis and urine erythrocyte(P<0.05).Conclusion:New Zhibo Dihuang decoction has excellent efficacy in treating children with hematuresis caused by Henoch-Schonlein purpura nephritis(Syndrome of liver and kidney yin deficiency)and no significant adverse reactions caused by the treatment,which confirms that the method of “guiding fire to origin” have certain effect in treating children with HSPN,and it is worthy generalizing clinically.

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蒋凤艳,常克.引火归元法治疗小儿紫癜性肾炎血尿(肝肾阴虚证)的疗效研究[J].世界中医药,2017,(08).

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  • 收稿日期:2017-06-15
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  • 在线发布日期: 2017-08-28
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