老年糖尿病肾病患者中医治疗效果分析

The effectiveness of traditional Chinese Medicine treatment of diabetic nephropathy in elderly patients

目的探讨中医辨证分型治疗老年糖尿病肾病患者效果的临床效果。方法选取2015年1月至2017年12月我院收治的96例老年糖尿病肾病患者，将其分为常规组（48例）和中医组（48例），常规组患者接受常规治疗，中医组在此基础上采取中医辨证分型治疗，并比较不同组患者临床疗效。结果常规组显效12例，有效24例，无效12例，总有效率为75．0％；中医组显效18例，有效27例，无效3例，总有效率为93．0％；中医组总有效率高于常规组（χ^2=6．400，P=0．011），治疗后，中医组患者空腹血糖、餐后2h血糖、血尿素、肌酐和24h尿蛋白定量均低于常规组和治疗前（P＜0．05）。结论中医辨证分型能提高老年糖尿病肾病患者临床治疗效果，同时还能改善其临床症状。

Objective To assess the effectiveness of traditional Chinese Medicine （TCM） syndrome differentiation treatment for diabetic nephropathy in elderly patients. Methods A total of 96 elderly patients with diabetic nephropathy admitted to our hospital from January 2015 to December 2017 were recruited and divided into a regular care group（n= 48）and a TCM group（n= 48）. Both groups received conventional treatment, with TCM syndrome differentiation treatment added to the TCM group. The effectiveness of the treatment modalities was compared. Results In the regular care group, significant effectiveness was observed in 12 patients, effectiveness in 24 patients, and ineffectiveness in 12 patients, with a total effectiveness rate of 75%. In the TCM group, significant effectiveness was seen in 18 patients, effectiveness in 27, and ineffectiveness 3, with a total effectiveness rate of 93%. The total effectiveness rate of the TCM group was higher than that of the regular care group（X2 = 6. 400, P = 0. 011 ）. After treatment, fasting blood glucose, 2 h postprandial blood glucose, urea nitrogen,creatinine, and 24 h urine protein in the TCM group were significantly lower than in the regular care group and than pre-treatment levels（P〈0.05）. Conclusions TCM differentiation can in elderly patients with diabetic