本文選題：玉腎露　切入點：五皮飲　出處：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察玉腎露合五皮飲加減治療脾腎兩虛型腎性水腫的臨床療效,為腎性水腫的中醫(yī)辨證治療提供參考。資料與方法:將就診于遼寧中醫(yī)藥大學(xué)附屬一院腎內(nèi)科門診,符合本次實驗納入標(biāo)準(zhǔn)、排除標(biāo)準(zhǔn)、剔除標(biāo)準(zhǔn)的60例患者隨機分為兩組,兩組分別在一般治療的基礎(chǔ)上(包括限鹽限水,注意休息,調(diào)暢情志,管控血壓等),其中一組予玉腎露合五皮飲加減方100ml日三次餐后口服,記為治療組,另一組予腎炎消腫片5片日三次餐后口服,記為對照組,治療療程為4周。記錄整理治療前后相關(guān)指標(biāo),使用Spss17.0統(tǒng)計軟件對數(shù)據(jù)進行分析。結(jié)果:1、在體重、尿量方面:兩組治療前后組內(nèi)比較,均具有差異性(p0.05);兩組治療前后組間比較,均不具有統(tǒng)計學(xué)意義(p0.05)。2、在減少尿蛋白方面:尿蛋白定性統(tǒng)計結(jié)果顯示,兩組治療后組間比較,具有差異性(p0.05);24小時尿蛋白定量統(tǒng)計結(jié)果顯示,兩組治療前后組內(nèi)比較,均具有差異性(p0.05);兩組治療后組間比較,具有差異性(p0.05)。尿蛋白療效分析,治療組臨床控制5例、顯效9例、有效11例、無效5例、總有效率83.33%,對照組臨床控制3例、顯效2例、有效12例、無效13例、總有效率56.67%,兩組療效比較,具有差異性(p0.05)。3、水腫療效分析:治療組臨床控制5例、顯效10例、有效10例、無效5例、總有效率83.33%,對照組臨床控制3例、顯效5例、有效13例、無效9例、總有效率70%,兩組療效比較,不具有差異性(p0.05)。4、中醫(yī)證候療效分析:治療組臨床控制6例、顯效11例、有效9例、無效4例、總有效率86.67%,對照組臨床控制2例、顯效3例、有效11例、無效14例、總有效率53.33%,兩組療效比較,具有差異性(p0.05)。結(jié)論:1、玉腎露合五皮飲加減方和腎炎消腫片對脾腎兩虛型腎性水腫患者的治療是有效的,均能夠能夠降低體重、增加24小時尿量、改善水腫程度、減少尿蛋白流失、改善中醫(yī)證候。2、玉腎露合五皮飲加減方和腎炎消腫片對脾腎兩虛型腎性水腫的治療,在降低體重、增加24小時尿量、改善水腫程度方面療效相當(dāng)。3、玉腎露合五皮飲加減方對脾腎兩虛型腎性水腫的治療,在減少尿蛋白流失、改善中醫(yī)證候方面優(yōu)于腎炎消腫片。
[Abstract]:Objective: To observe the clinical effect of jade Shenlu five PI Decoction in treatment of spleen and kidney deficiency type two renal edema, provide a reference for TCM treatment of renal edema. Materials and methods: the clinic in the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Department of nephrology outpatient clinic, with the inclusion criteria, exclusion criteria, 60 patients were randomly divided out the standard into two groups, two groups were based on the general treatment (including the salt water restrictions, pay attention to rest, regulating emotions, control blood pressure), one group to jade Shenlu five PI Decoction 100ml three times a day after meal orally, as treatment group, another group with nephritis swelling 5 tablets three times a day after meal orally, as control group, the treatment lasted for 4 weeks. Records before and after the treatment, the relevant indicators, the use of Spss17.0 statistical software for data analysis. Results: 1, the body weight, urine volume, were compared within the two groups before and after treatment, there was significant difference (p0.05);涓ょ粍娌葷枟鍓嶅悗緇勯棿姣旇緝,鍧囦笉鍏鋒湁緇熻瀛︽剰涔，

本文編號：1718394