论文部分内容阅读
[目的]观察六味地黄丸联合依那普利治疗老年糖尿病肾病疗效。[方法]使用随机平行对照方法,将100例住院患者按随机数字表法分为三组。西药组38例依那普利,5mg/次,2次/d。中药组25例六味地黄丸,8粒/次,3次/d。中西医结合组37例六味地黄丸+依那普利,剂量方法同西药组及中药组。连续治疗6周为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]西药治疗组显效17例,有效13例,无效8例,总有效率为78.94%。中药治疗组显效12例,有效8例,无效5例,总有效率为80.00%。中西医结合治疗组25例,10例,无效2例,总有效率为94.60%。中西医结合组临床疗效,高于西药组和中药组(P<0.05)。[结论]六味地黄丸联合依那普利治疗老年糖尿病肾病比单纯中药或者西药效果显著。
[Objective] To observe the therapeutic effect of Liuweidihuangwan combined with enalapril on senile diabetic nephropathy. [Method] Randomized parallel method was used to divide 100 hospitalized patients into three groups according to random number table. Western medicine group 38 enalapril, 5mg / time, 2 times / d. Chinese medicine group of 25 cases of Liu Wei Di Huang Wan, 8 capsules / time, 3 times / d. Integrative Medicine group of 37 cases of Liu Wei Di Huang Wan + enalapril dose method with Western medicine group and Chinese medicine group. Continuous treatment of 6 weeks for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Results] In the Western medicine treatment group, 17 cases were markedly effective, 13 cases were effective, 8 cases were ineffective, and the total effective rate was 78.94%. Chinese medicine treatment group markedly effective in 12 cases, effective in 8 cases, 5 cases, the total effective rate was 80.00%. Integrative Medicine group 25 cases, 10 cases, 2 cases, the total effective rate was 94.60%. Integrative medicine group clinical efficacy, higher than western medicine group and traditional Chinese medicine group (P <0.05). [Conclusion] Liuweidihuangwan combined with enalapril treatment of elderly diabetic nephropathy than simple Chinese medicine or Western medicine results were significant.