中西医结合治疗糖尿病肾病32例效果观察

Observing the Effect of Traditional Chinese Medicine and Western Medicine for Treatment of 32 Diabetic Nephropathies Patients

目的观察中西医结合的方法治疗糖尿病肾病的临床疗效。方法将61例糖尿病患者随机分为两组，对照组控制血糖用格列喹酮90—180mg／d，分3次口服，或诺和灵30R胰岛素注射液；控制血压用氯沙坦50～100mg／d或非洛地平，每日1次口服，使血压控制在130／80mmHg以下；血脂高者给予氟伐他汀40mg／d，每晚1次口服。治疗组在对照组基础上加用中药方剂。结果治疗组总有效率90．6％，对照组总有效率55．2％，两组总有效率比较有显著性差异（P〈0．05）。治疗后两组UAER、TG、全血比粘度、血浆比粘度、血小板粘附率、血小板集聚率比较有差异性（P〈0．05）。结论在西医基础治疗的基础上加用中药能够明显改善患者的临床症状，疗效确切。

Objective To Observing the effect of traditional Chinese medicine and western medicine for treatment of 32 diabetic Nnephropathies patients. Methods 61 patients were randomly divided into tow groups. The control group were treated only with western medicine and the cure group were treated with traditional Chinese medicine and western medicine. Results The total effective rate of the treatment was 90.6% in cure group and 55.2% in control group, and the difference was obvious （P 〈 0.05 ）. After treatment UAER, TG, et al had difference between control group and cure group （ P 〈 0.05 ）. Conclusion Added traditional Chinese medicine based western medicine could improve the clinic symptom and the effect was good.