摘要
目的:探讨脾肾阳虚型糖尿病肾病(DN)患者采用真武汤加减联合温针灸治疗的临床效果。方法:选取2020年1月—2022年8月吉安市中医院收治的84例脾肾阳虚型DN患者,以随机数字表法分成研究组(n=42)与对照组(n=42)。对照组给予温针灸治疗,研究组给予真武汤加减联合温针灸治疗。对两组临床疗效、肾功能及C反应蛋白(CRP)、降钙素原(PCT)水平进行比较。结果:研究组治疗总有效率(95.24%)较对照组(78.57%)更高,差异有统计学意义(P<0.05);治疗后两组血肌酐(Scr)、血尿素氮(BUN)水平均降低,研究组较对照组均更低,差异均有统计学意义(P<0.05);治疗后两组CRP、PCT水平均降低,研究组较对照组均更低,差异均有统计学意义(P<0.05)。结论:真武汤加减联合温针灸治疗脾肾阳虚型DN的临床效果较好,能够促进患者肾功能改善,缓解机体炎症反应。
Objective:To investigate the clinical effect of modified Zhenwu Decoction combined with warming needle moxibustion on patients with diabetic nephropathy(DN)of Yang deficiency of spleen and kidney.Method:A total of 84 patients with DN of Yang deficiency of spleen and kidney treated in Ji’an City Traditional Chinese Medicine Hospital from January 2020 to August 2022 were selected and divided into study group(n=42)and control group(n=42)according to random number table method.The control group was given warming needle moxibustion treatment,and the study group was given modified Zhenwu Decoction combined with warming needle moxibustion treatment.The clinical efficacy,renal function and the levels of C reactive protein(CRP)and procalcitonin(PCT)were compared between the two groups.Result:The total effective rate of the study group(95.24%)was higher than that of the control group(78.57%),the difference was statistically significant(P<0.05).After treatment,the levels of serum creatinine(Scr)and blood urea nitrogen(BUN)were decreased in both groups,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of CRP and PCT in both groups were decreased,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Zhenwu Decoction combined with warming needle moxibustion has a good clinical effect in the treatment of DN of Yang deficiency of spleen and kidney,which can promote the improvement of kidney function and alleviate inflammatory reaction of the body.
作者
陈贵平
陈杰
王名辉
CHEN Guiping;CHEN Jie;WANG Minghui(Ji’an City Traditional Chinese Medicine Hospital,Jiangxi Province,Ji’an 343000,China;不详)
出处
《中国医学创新》
CAS
2023年第33期76-79,共4页
Medical Innovation of China
关键词
真武汤
温针灸
脾肾阳虚型
糖尿病肾病
肾功能
C反应蛋白
降钙素原
Zhenwu Decoction
Warming needle moxibustion
Yang deficiency of spleen and kidney
Diabetic nephropathy
Renal function
C reactive protein
Procalcitonin
