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目的探讨中西医结合治疗早期糖尿病肾病的临床疗效。方法将80例早期糖尿病肾病患者随机分为观察组和对照组各40例,对照组采用常规西药治疗方法,观察组在对照组疗法基础上加服自配中药汤剂。观察临床症状、24 h尿微量白蛋白排泄率(UAER)、尿蛋白定量、肾功、血糖、HbA1 c等。结果观察组临床治愈6例,显效16例,有效13例,无效5例,总有效率为87.5%;对照组临床治愈3例,显效10例,有效10例,无效17例,总有效率为57.5%。经统计学处理,观察组的总有效率显著高于对照组,两组差异有统计学意义(P<0.05)。结论中西医结合治疗早期糖尿病肾病疗效显著。
Objective To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of early diabetic nephropathy. Methods Eighty patients with early diabetic nephropathy were randomly divided into observation group and control group, 40 cases in each group. The control group was treated with conventional western medicine. The observation group was given self-made Chinese medicine decoction on the basis of the control group. Clinical symptoms, 24 h urinary albumin excretion rate (UAER), urinary protein, renal function, blood glucose, HbA1 c and so on were observed. Results In the observation group, 6 cases were clinically cured, 16 cases were markedly effective, 13 cases were effective, 5 cases were ineffective and the total effective rate was 87.5%. In the control group, 3 cases were clinically cured, 10 cases markedly effective, 10 effective and 17 ineffective. The total effective rate 57.5%. Statistically, the observation group’s total effective rate was significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion Integrative treatment of early diabetic nephropathy significant effect.