中西医结合治疗老年慢性肾功能不全104例临床观察

Observation on 104 Senile Chronic Renal Insufficiency Patients Treated with Integrated Traditional Chinese and Western Medicine

对本院１９８７年１月～１９９１年１２月期间的１０４例老年慢性肾功能不全患者进行临床分析。在中医辨证上，发现老年患者以肾阳虚为特征，宜温肾摄精及时顾护阳气。采用中西医结合治疗及消除使病情恶化因素后，老年患者总有效率达５６．７％，与对照组（６０．６％）比较无显著性差异（Ｐ＞０．０５）。认为如能掌握老年慢性肾功能不全的病理生理变化及临床特点，在肾功能不全的早中期及时合理地采用中西医结合治疗，可提高疾病的好转率。

A clinical study on 104 cases of senile chronic renal insufficiency (SCRI) was conducted. In order to analyze the clinical features of SCRI and the efficacy of integrated TCM-WM treatment,all cases were treated by this combined therapy,except for the treatment of primary diseases and removing the aggravating factors.It was concluded that the effective rate reached 57%,it had no significant difference with 61% of non-senile group,P>0.05.The senile patients featured Kidney Yang Deficiency in TCM Syndrome Differentiation.It could guide the clinical treatment and thus the senile patient's Yang should be strengthened at usual time.Wlien Kidney Qi was insufficient and frequent nocturia appeared,sufficient water supply as well as Warming Kidney Yang drugs should be given and that Yang Qi should be protected all the time.Also diuretics and purgatives should not be misused which might damage Yin and Yang.