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目的:探讨中西医结合疗法治疗慢性肾功能衰竭的疗效。方法:将92例慢性肾功能衰竭患者随机分为中西医结合治疗组58例和单纯西医对照组34例,对照组采用西医常规治疗,包括优质低蛋白饮食,控制血压、血糖、血脂,抗生素控制感染,纠正贫血,利尿,纠正水、电解质紊乱,维持酸碱平衡等。治疗组在对照组常规治疗的基础上配合中医辨证治疗,分为脾肾气虚、脾肾阳虚、肝肾阴虚、阴阳两虚、气阴两虚5型,分别给予相应的中药治疗。结果:治疗组58例中显效17例,有效32例,无效9例,总有效率84.5%;对照组34例中显效7例,有效11例,无效16例,总有效率52.7%。两组比较,治疗组疗效明显优于对照组(P<0.05)。结论:中西医结合疗法是治疗慢性肾功能衰竭的理想方法之一。
Objective: To investigate the curative effect of traditional Chinese medicine and western medicine on chronic renal failure. Methods: A total of 92 patients with chronic renal failure were randomly divided into two groups: 58 cases in combination with traditional Chinese and western medicine and 34 cases in western medicine group. The control group was treated with conventional western medicine including high-quality low-protein diet, blood pressure, blood glucose, Infection, correct anemia, diuresis, correct water, electrolyte disorders, maintain acid-base balance. Treatment group in the control group based on conventional treatment with TCM syndrome differentiation, divided into spleen and kidney Qi, spleen and kidney yang, liver and kidney yin and yang, yin and yang deficiency, Qi and Yin deficiency type 5, were given the corresponding Chinese medicine treatment. Results: Among the 58 cases in the treatment group, 17 cases were markedly effective, 32 cases were effective, 9 cases were ineffective and the total effective rate was 84.5%. In the control group, 7 cases were markedly effective, 11 cases were effective, 16 cases were ineffective and the total effective rate was 52.7%. The two groups, the treatment group was significantly better than the control group (P <0.05). Conclusion: Integrative medicine is one of the ideal ways to treat chronic renal failure.