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目的 :观察中西医结合治疗慢性肾衰竭 (CRF)的疗效。方法 :将 6 8例CRF患者随机分为中西医结合治疗组 (A组 )和西医对照组 (B组 ) ,各为 34例。两组均给优质低蛋白饮食 (LPD)、控制血压、潘生丁、静滴河山胸腺肽 2 0～ 30mg/d ,维持水、电解质及酸碱平衡。尿毒症给强骨生血口服液、α -骨化醇及丙酸睾丸酮。A组静滴参麦注射液 2 0～ 30ml/d ,并服肾衰I号汤剂。B组静滴能量合剂。均以 30d为 1个疗程。分别检测两组治疗前、后BUN、Cr及观察临床表现的变化。结果 :治疗后A组BUN、Cr均显著下降 (P <0 .0 5 ) ,B组BUN均无下降 (P >0 .0 5 ) ,且有上升趋势。以BUN为参照 ,A组与B组总有效率各为 70 %和 2 0 .6 % ;以Cr为参照 ,A组与B组总有效率各为 73.4%和2 0 .6 %。BUN、Cr同步下降 30 %以上 ,A组与B组各为 10例 (2 9.4% )和 1例 (2 .9% )。A组疗效显著优于B组 (P <0 .0 1)。结论 :中西医结合治疗CRF的疗效显著优于西医治疗。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on chronic renal failure (CRF). Methods: Sixty-eight patients with CRF were randomly divided into two groups (A group) and western medicine group (B group), 34 cases in each. Both groups were given high-quality low-protein diet (LPD), blood pressure, dipyridamole, intravenous thymosin 20 ~ 30mg / d, to maintain water, electrolyte and acid-base balance. Uremia to Qianguoshengxiong oral liquid, α - calciferol and testosterone propionate. A group of intravenous Shenmai injection 20 ~ 30ml / d, and served Decoction of Decoction. Group B intravenous infusion of energy mixture. All 30d for a course of treatment. The changes of BUN and Cr in the two groups before and after treatment were observed and the clinical manifestations were observed. Results: The levels of BUN and Cr were significantly decreased in group A (P <0.05), but not in group B (P> 0.05), and there was an upward trend. According to BUN, the total effective rates in group A and group B were 70% and 20.6%, respectively. The total effective rates in group A and group B were 73.4% and 20.6% respectively with reference to Cr. BUN and Cr decreased by more than 30% simultaneously, 10 cases (2 9.4%) and 1 case (2.9%) in group A and group B, respectively. The efficacy of group A was significantly better than that of group B (P <0.01). Conclusion: The treatment of CRF with traditional Chinese and western medicine is significantly better than western medicine.