二天汤防治儿童原发性肾病综合征缓解期气阴两虚证的临床研究
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四川省科技厅科技支撑项目(2010JY0108)——中西医链接治疗小儿肾病综合征生质量评价


Clinical Research on Prevention and Treatment for Dual Deficiency of Qi and Yin Syndrome in Children with Primary Nephrotic Syndrome by Ertian Decoction
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    摘要:

    目的:通过二天汤与槐杞黄颗粒防治儿童原发性肾病综合征(PNS)缓解期气阴两虚证的比较研究,探讨二天汤具有的治疗优势及作用机制。方法:选取2016年1月至2016年6月成都中医药大学附属医院儿科门诊及住院部就诊的符合纳入标准的患儿80例,采用分组对照的研究方法,分为观察组和对照组,每组40例,观察组以糖皮质激素为主要药物加用中药“二天汤”,对照组以糖皮质激素为主要药物加用槐杞黄颗粒,共治疗8周。观察并统计2组患儿中医症候积分、临床疗效及半年内复发率。结果:1)2组患儿治疗后中医症候积分与同组治疗前比较,差异有统计学意义(P<0.05),观察组积分低于对照组,差异有统计学意义(P<0.05);2)2组患儿中医证候疗效比较,观察组总有效率达94.7%;对照组总有效率达81.0%,2组差异有统计学意义(P<0.05),表明观察组疗效优于对照组;3)随访患儿6个月,观察组复发率为21.0%,对照组复发率29.7%,观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论:二天汤对于儿童原发性肾病综合征缓解期气阴两虚证在改善患儿症状、体征等方面疗效优于槐杞黄颗粒,能有效减轻激素不良反应,防止肾病复发,使用安全,对于防治PNS具有良好的临床应用价值。

    Abstract:

    To discuss the therapeutic advantages and mechanism of Ertian decoction by the comparative study of Ertian decoction and Huai Qi Huang Granule on prevention and treatment of primary nephrotic syndrome(PNS)at remission stage with both qi and yin deficiency which occurs to children.Methods:The test was performed by group contrast,80 cases in accordance with the inclusion criteria were divided into the treatment group and the control group,40 cases in each.In the treatment group,trial subjects were treated with glucocorticoid as the main drug combined with traditional Chinese medicine “Ertian Decoction”.In the control group,the main drug glucocorticoid with Huai Qi Huang granules were used.The treatment in both groups lasted for 8 weeks.The symptom integral,clinical efficacy and recurrence rate in six months of two groups were observed and collected.Results:1)Comparing the symptom integral with before,the data difference has statistics significance(P<0.05),the integral of treatment group was significant lower than that of the control group(P<0.05);2)Comparing the total effective rate of TCM symptom effect between the 2 groups,the treatment group total effective rate was 94.7%; the control group total effective rate was 81.0%,P<0.05,statistically significant difference reveals that the treatment in treatment group was more effective than that of the control group;(3)Following up the trial subjects for six months,the recurrence rate of the treatment group was 21% while the control group was 29.7%,the recurrence rate of the treatment group was lower than the control group,P<0.05,there was statistically significant difference.Conclusion:Ertian Decoction is superior than Huai Qi Huang granules in treating children who have PNS in remission with qi and yin deficiency to improving symptoms and other aspects.Besides,it can reduce side effects of hormones effectively and prevent relapse of kidney disease.It is more safe to use.There’s a good clinical value for the prevention and treatment of PNS.

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彭文禹,韩姗姗,杨静,陈姣娇,常克.二天汤防治儿童原发性肾病综合征缓解期气阴两虚证的临床研究[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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