健脾補(bǔ)腎、瀉濁祛瘀法治療慢性腎功能衰竭的研究

健脾補(bǔ)腎、瀉濁祛瘀法治療慢性腎功能衰竭的研究

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時間:2019-02-01

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1、Studyontreatingchronicrenalfailureusingmethodsofinvigoratingspleenandkidney,purgingturbidandremovingbloodstasisSpecialty:ThestudyofKidneyDiseases.InternalMedicineofTCMAuthor:LiMinTutor:ProfessorGuoZhaoanAbstractObjective:Toobservetheclinicaleffectoftreatingchronicrenalfailureusingthemeth

2、odsofinvigoratingspleenandkidney,purgingturbidanditsprotectiveeffectonrenalfunctionandstructureofratswithrenalinterstitialfibrosiscausedbyunilateralureteralobstruction.Todiscussitsmechanismoffunction.Methods:1.120patientswithCRFweredividedrandomlyintotwogroupswiththeratioof1:1,theexperim

3、entalgroupandthecontrolgroup.Patientsintheexperimentalgroup(30cases)wereadministeredwithQudugranules(dispeltoxic)(5gpertime,threetimesaday),whilethoseinthecontrolgroup(60cases)treatedwithNiaoDuqinggranules(5gpertime,threetimesaday).Thechangesofhemoglobin,urinaryproteinper24hrs,hemoglobin

4、,renalfunction,parathyroidhormone(PTH),N-actely-β-D-glucosaminidase(NAG),endothelin(ET),changesofscoresofsymptomsofsyndromesofdeficiencyofspleenandkidney,turbidandbloodstasiswereobservedintwogroups.Thedifferencesbetweentwogroupswerecompared.2.90maleWistarratsweredividedrandomlyintofivegr

5、oups:theshamoperationgroup,themodelgroup,highdosageQudugranulesgroup(highdosagegroup),thelow-dosageQudugranulesgroup(lowdosagegroup)andNiaoDuqinggroup(controlgroup).18ratswereineachgroup.Excepttheratsintheshamoperationgroup,theleftureteralsofratswereligatedineachgroup.Medicinewasgiventoe

6、achgroupaccordingtothedesignedconcentrationanddosagefromthedaybeforetheligation.Theratswerekilledonthethird,seventhandfourtheenthdayinbatches.NAGenzymeintheurine,renalfunctionandpathologicalchangesofthekidneywereobserved.Results:1.Aftertwomonthstreatment,thecreatinine,ureanitrogenanduric

7、acidofthepatientswereimproved,NAGenzymeintheurine,endothelinand24hoursurinaryproteinwerelower,hemoglobinwassignificantlyhigher,PTHandscoresofsymptomsdecreaseobviouslyintheexperimentalgroup.2.QudugranulescouldsignificantlyreduceurinaryNAGenzyme,improvethecreatinine,ureanit

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