世界中医药
文章摘要
引用本文:李思瓯 尹昌浩 张忠敏.益肾汤配合西药治疗IgA肾病伴高血压36例[J].世界中医药,2013,8(05):.  
益肾汤配合西药治疗IgA肾病伴高血压36例
Yishen Decoction Combined with Western Medicine in Treating 36 Patients with IgA Nephropathy with Hypertension
投稿时间:2012-11-04  
DOI:10.3969/j.issn.1673-7202.2013.05.017
中文关键词:  中西药联合治疗  益肾汤  IgAN伴高血压
English Keywords:Combined treatment of Chinese and Western medicines  Yishen decoction  IgAN complicated with hypertension
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作者单位
李思瓯 尹昌浩 张忠敏 黑龙江省牡丹江医学院附属红旗医院肾内科牡丹江157011 
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中文摘要:
      目的:观察益肾汤配合西药治疗IgA肾病(IgAN)伴高血压的临床疗效。方法:将收治的IgAN伴高血压患者71例按入院顺序的奇数、偶数分为治疗组36例和对照组35例,所有患者均给予相同的对症支持治疗,同时口服洛汀新降压、泼尼松防治肾衰竭;治疗组另外给予自拟益肾汤治疗,疗程结束后对比观察肾功能的改善效果。结果:治疗后2组患者血压平稳,尿蛋白定量、尿沉渣红细胞计数、血肌酐水平均较治疗前有显著改善,治疗组优于对照组(P<0.05);治疗组不良反应发生率显著低于对照组(P<0.05)。结论:益肾汤配合西药治疗IgAN伴高血压疗效肯定,且能够降低西药的不良反应发生率。
English Summary:
      To observe Yishen decoction combined with Western medicine in the treatment of patients with IgA nephropathy (IgAN) and hypertension.Methods:Seventy-one hospitalized IgAN patients with hypertension were divided to treatment group (n=36) and control group (n=35) according to order of admission. All patients were given the same symptomatic treatment and lotensin orally to prevent renal failure; Treatment group took yishen decoction in addition. Renal function was examined after treatment.Results:Blood pressure stabled after treatment; urine protein quantitative, red cell counts in urine residue, creatine level had significantly improved than before treatment, the treatment group was better than the control group (P<0.05); adverse reaction occurrence rate was significantly lower than control groups (P<0.05).Conclusion:Yishen decoction combined with western medicine in the treatment of IgAN with hypertension can reduce the incidence of adverse reactions of western medicine.
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