摘要
目的观察滋阴清肾饮治疗阴虚内热证狼疮肾炎(LN)的临床疗效。方法选取我院2020年6月至2022年5月住院及门诊确诊LN的患者60例,随机分为对照组(n=30)和联合组(n=30)。对照组给予常规西医治疗,联合组给予常规西医+滋阴清肾饮治疗。比较2组临床疗效、中医证候积分与疗效、肾功能指标[血清白蛋白(ALB)、血肌酐(sCr)、血红蛋白(Hb)、血尿素氮(BUN)、24 h尿蛋白定量(24 h Upro)]、免疫学指标[补体C3、补体C4、免疫球蛋白(Ig)M、IgG、IgA]、炎症指标[C反应蛋白(CRP)、红细胞沉降率(ESR)]、系统性红斑狼疮疾病活动评分(SLEDAI)及安全性。结果联合组总有效率、中医证候疗效总有效率(86.67%、83.33%)较对照组(63.33%、60.00%)高(P<0.05);治疗后联合组五心烦热、咽痛、盗汗、斑疹证候积分低于对照组(P<0.05);治疗后联合组24 h Upro、BUN、sCr、IgM、IgG、IgA、CRP、ESR、SLEDAI评分低于对照组,ALB、Hb、补体C3、补体C4高于对照组(P<0.05);2组不良反应发生率比较,无统计学差异(P>0.05)。结论滋阴清肾饮治疗阴虚内热证LN效果明显,可改善患者肾功能、免疫学指标,降低炎症水平,有助于控制病情。
Objective To observe the clinical effect of Ziyin Qingshenyin on lupus nephritis(LN)with Yin deficiency and internal heat syndrome.Methods Sixty patients diagnosed with LN were selected from June 2020 to May 2022 from our hospital as research partici-pants and randomly divided into control group(n=30)and combination group(n=30).The control and combination groups were adminis-tered conventional Western medicine and conventional Western medicine with Ziyin Qingshenyin,respectively.Clinical efficacy,traditional Chinese medicine(TCM)syndrome score and efficacy,renal function index[serum albumin(ALB),serum creatinine(sCr),hemoglobin(Hb),blood urea nitrogen(BUN),and 24 h urinary protein quantitation(24 h Upro)],immunological indicators[complement C3,com-plement C4,immunoglobulin(Ig)M,IgG,and IgA],inflammatoryindicators[C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)],disease activity score of systemic lupus erythematosus(SLEDAI),and safety were determined.Results The total effective rate(86.67%,83.33%)of the combination group was higher than that of the control group(63.33%,60.00%)(P<0.05).Following treatment,the five syndrome scores of heat,sore throat,night sweats,and macula in combination group were lower than those in the control group(P<0.05).After treatment,24 h Upro,BUN,sCr,IgM,IgG,IgA,CRP,ESR,and SLEDAI scores in the combination group were lower than those in control group,while ALB,Hb,complement C3,and complement C4 were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The Ziyin Qingshen-yin treatment has notable effects on LN with Yin deficiency and internal heat syndrome,which can improve renal function and immunolog-ical indexes,reduce inflammatory factors,and contribute to disease control.
作者
陈丹
何诚明
张海霞
CHEN Dan;HE Chengming;ZHANG Haixia(Nephropathy and Rheumatology Department,Pingxiang Mining Group Co.,Ltd.General Hospital Traditional Chinese Medicine,Pingxiang 337000,China)
出处
《中国医科大学学报》
CAS
北大核心
2024年第3期257-262,共6页
Journal of China Medical University
基金
江西省中医药管理局科技计划(2022B124)。
关键词
滋阴清肾饮
治疗
阴虚内热证
狼疮肾炎
Ziyin Qingshenyin
treatment
Yin deficiency and internal heat syndrome
lupus nephritis
