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目的:观察益肾化湿颗粒联合氯沙坦钾片对慢性肾小球肾炎(以下简称“慢性肾炎”)患者肾功能指标和炎症因子的影响。方法:选取2015年1月-2016年8月我院收治的慢性肾炎患者107例,按照治疗方案分为观察组(53例)和对照组(54例)。除进行基础治疗外,对照组患者给予氯沙坦钾片50 mg,po,qd;观察组患者在对照组基础上给予益肾化湿颗粒10 g,po,tid。两组患者均连续治疗2个月。观察两组患者的临床疗效、肾功能指标[血肌酐(Scr)、血尿素氮(BUN)、24 h尿蛋白定量和尿红细胞]和炎症因子[白细胞介素13(IL-13)、C反应蛋白(CRP)和肿瘤坏死因子α(TNF-α)]水平,并记录不良反应发生情况。结果:观察组患者临床总有效率(86.79%)明显高于对照组(66.67%),差异有统计学意义(P<0.05)。治疗前,两组患者肾功能指标、炎症因子水平比较,差异均无统计学意义(P>0.05);治疗后,两组患者肾功能指标、炎症因子水平均明显降低,且观察组明显低于对照组,差异均有统计学意义(P<0.05)。两组患者在治疗过程中均未见明显不良反应发生。结论:益肾化湿颗粒联合氯沙坦钾片治疗慢性肾炎,可改善患者肾功能,降低炎症因子水平,且安全性较高。
OBJECTIVE: To observe the effects of Yishen huashi granules combined with Losartan potassium tablets on renal function indexes and inflammatory factors of patients with chronic glomerulonephritis. METHODS: A total of 107 patients with chronic glomerulonephritis in our hospital during Jan. 2015-Aug. 2016 were divided into observation group (53 cases) and control group (54 cases) according to therapy plan. Besides basic therapy, control group was given Losartan potassium tablets 50 mg, po,qd; observation group was additionally given Yishen huashi granules 10 g, po,tid, on the basis of control group. Both groups were treated for consecutive 2 mouths. Clinical efficacies, renal function indexes (Scr, BUN, 24 h urine protein quantification, urine red blood cell) and inflammatory factors (IL-13, CRP, TNF-α) levels were all observed in 2 groups, and the occurrence of ADR was recorded. RESULTS: Clinical total response rate of observation group (86.79%) was significantly higher than that of control group (66.67%), with statistical significance (P<0.05). Before treatment, there was no statistical significance in renal function indexes or inflammatory factors levels between 2 groups (P>0.05). After treatment, renal function indexes and inflammatory factors levels of 2 groups were significantly decreased; and observation group was significantly lower than control group, with statistical significance (P<0.05). No obvious ADR was found in 2 groups during treatment. CONCLUSIONS: Yishen huashi granules combined with Losartan potassium tablets in the treatment of chronic glomerulonephritis can improve renal function and reduce inflammation factor level with good safety.
慢性肾小球肾炎益肾化湿颗粒氯沙坦钾片肾功能炎症因子
Chronic glomerulonephritisYishen huashi granulesLosartan potassium tabletsRenal functionInflammatory factor
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