中西医结合治疗早期糖尿病肾病临床研究

Clinical Study on Treatment of Early Diabetic Nephropathy by Integrative Chinese and Western Medicine

目的分析和研究中西医结合治疗早期糖尿病肾病的临床应用效果。方法方便选取该院在2016年5月—2017年5月期间该院收治的78例早期糖尿病肾病患者作为研究对象,按照入院单号单双数将患者划分为参照组和研究组,各39例,其中参照组患者采用常规西医治疗,研究组患者采用中西医结合治疗,观察和比较两组患者的临床疗效。结果参照组患者的治疗总有效率为74.36%,研究组患者的治疗总有效率为94.87%,治疗后参照组患者的纤维蛋白原、血浆粘度分别为(4.56±0.58)g/L、(1.26±0.35)m Psa、研究组患者的纤维蛋白原、血浆粘度分别为(3.25±0.62)g/L、(1.43±0.21)m Psa,由此可以看出,研究组患者的治疗有效率要显著高于参照组(χ~2=6.317 2),且研究组患者血液流变学和尿微量白蛋白相关指标的改善效果更加显著,差异有统计学意义(P<0.05)。结论采用中西医结合治疗早期糖尿病肾病,能够显著提高患者的临床治疗效果,同时在血液黏稠度降低、脂质代谢调节、蛋白质减少等方面也具有良好的效果,值得推广。

Objective This paper tries to analyze and study the clinical effect of traditional Chinese and western medicine on early diabetic nephropathy.Methods 78 cases of early diabetic nephropathy patients from May 2016 to May 2017 were convenient selected as the research objects,according to the hospital order number and odd number will be divided into control group and research group,with 39 cases in each group,the control group was treated by routine western medicine treatment,the research group was treated by combining traditional Chinese and western medicine treatment,the clinical efficacy of two groups of patients was observed and compared.Results The total effective rate was 74.36%in the control group,94.87%in the study group,and after treatment,micro-protoplasm and plasma viscosity were(4.56±0.58)g/L(1.26±0.35)mPsa in the control group.The study group of micro-protoplasm and plasma viscosity were(3.25±0.62)g/L and(1.43±0.21)mPsa,respectively.It can be seen that the treatment efficiency of study group patients was significantly higher than the reference group(χ2=6.317 2),and the study group of patients with hemorheology and urinary albumin-related indicators of the improvement effect was more significant,the difference was statistically significant(P<0.05).Conclusion The use of integrated traditional Chinese and Western medicine treatment of early diabetic nephropathy,can significantly improve the clinical treatment of patients,while reducing blood viscosity,lipid metabolism regulation,with good protein reduction results,it is worth promoting.