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纸质出版日期:2016
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于俏, 吴焕林, 吴瑜. 温胆汤加减对难治性高血压患者尿微量白蛋白/肌酐的影响[J]. 中国实验方剂学杂志, 2016,22(12):167-171.
YU Qiao, WU Huan-lin, WU Yu. Effects of Wendan Tang on Urinary Microalbumin/Creatinine Ratio in Patients with Resistant Hypertension[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(12): 167-171.
于俏, 吴焕林, 吴瑜. 温胆汤加减对难治性高血压患者尿微量白蛋白/肌酐的影响[J]. 中国实验方剂学杂志, 2016,22(12):167-171. DOI: 10.13422/j.cnki.syfjx.2016120167.
YU Qiao, WU Huan-lin, WU Yu. Effects of Wendan Tang on Urinary Microalbumin/Creatinine Ratio in Patients with Resistant Hypertension[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(12): 167-171. DOI: 10.13422/j.cnki.syfjx.2016120167.
目的:评价温胆汤加减治疗难治性高血压患者尿微量白蛋白/肌酐的疗效
明确其对肾功能的保护作用。方法:纳入2012年9月-2014年9月广东省中医院慢病门诊就诊及住院难治性高血压患者90例
随机分为治疗组及对照组。分别记录两组患者治疗前后的血压、中医证候、生化指标
同时检测治疗前和治疗后患者尿微量白蛋白/肌酐水平
并进行分析。结果:血压控制方面
治疗组收缩压、舒张压低于对照组(P<0.05);中医证候方面
治疗组总有效率优于对照组(P<0.05);生化指标方面
治疗组生化指标和尿微量白蛋白/肌酐较对照组明显下降(P<0.05)。经治疗后
治疗组出现肾功能异常低于对照组(P<0.05)。结论:温胆汤加减对于降低难治性高血压患者血压、改善患者临床症状、减少血液中尿毒素及尿微量白蛋白/肌酐有显著作用
对肾功能具有保护作用
值得临床推广应用。
Objective: To evaluate the clinical efficacy of Wendan Tang on urinary microalbumin/creatinine ratio in patients with resistant hypertension
and clarify its protective effect on renal function. Method: The 90 patients with resistant hypertension from chronic diseases outpatient and inpatient of our hospital during September 2012-September 2014 were randomly divided into treatment group and control group. Blood pressure
traditional Chinese medicine(TCM) syndromes
and biochemical indicators were recorded before and after treatment for both groups. Urinary microalbumin/creatinine ratio levels were detected and analyzed before and after treatment. Result: In respect of blood pressure
the systolic blood pressure and diastolic blood pressure in treatment group were lower than those in the control group
with statistical difference (P<0.05). In respect of TCM syndromes
the results showed that was a total effective rate of 84.1% in the treatment group (44 cases)
while in the control group the total effective rate was 58.1%
with significant differences between two groups (P<0.05). In respect of biochemical indicators
urinary microalbumin/creatinine of the biochemical indicators was significantly decreased in the treatment group (P<0.05). After treatment
renal dysfunction was present in treatment group significantly lower than the control group (P<0.05). Conclusion: Wendan Tang has significant effects in reducing the blood pressure for resistant hypertension patients
improving clinical symptoms
and reducing toxins in the blood and urinary microalbumin/creatinine
with a protective effect on renal function
so it is worthy of clinical application.
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