参芪糖肾方治疗气阴两虚夹瘀型早期糖尿病肾脏病临床疗效观察OA
Clinical Curative Effect Observation of Shenqi Tangshen Formula on Diabetic Kidney Disease of Qi And Yin Deficiency with Blood Stasis Type
目的 观察参芪糖肾方对早期糖尿病肾脏病气阴两虚夹瘀型患者的临床治疗效果.方法 将气阴两虚夹瘀型早期糖尿病肾脏病患者,随机分为对照组和治疗组各 30 例,对照组予以服用达格列净,治疗组则在此基础上加服参芪糖肾方.治疗 8w 后,统计分析相关生化指标变化情况,观察比较两组患者的临床疗效.结果 两组患者治疗后,中医证候积分、空腹血糖(Fasting plasma glucose,FPG)、餐后 2 小时血糖(2-hour Postprandial blood glucose,2 h PBG)、血肌酐(Serum creatinine,Scr)、血尿素氮(Blood urea nitrogen,BUN)、β2 微球蛋白(β2 Microglobu-lin,β2-MG)、胱抑素 C(Cystatin C,CysC)、尿白蛋白排泄率(Urinary albumin excretion rate,UAER)与治疗前相比均显著下降,肾小球滤过率(esti mated Glomerularfiltrationrate,eGFR)显著升高(P<0.05);与对照组治疗后相比,治疗组治疗后的TCMSS、FPG、2 h PBG、Scr、β2-MG、CysC、UAER 显著降低,eGFR 显著升高(P<0.05).结论 参芪糖肾方治疗气阴两虚夹瘀型早期糖尿病肾脏病疗效显著,明显改善了患者临床症状,具有调节血糖和保护肾脏作用.
Objective To observe the clinical curative effects of Shenqi Tangshen Formula in early-stage patients with diabetic kidney disease(DKD)of qi and yin deficiency with blood stasis type.Methods Early-stage DKD patients with qi and yin deficiency,and blood stasis type were randomly assigned to a control group or a treatment group,with 30 cases in each group.Both groups received dapagliflozin,with the treatment group additionally receiving Shenqi Tangshen Formula.After 8 weeks,relevant biochemical indicators were analyzed,and the clinical efficacy of the two groups was compared.Results Both groups exhibited significant reductions in TCMSS,FPG,2 h PBG,Scr,BUN,β2-MG,CysC,and UAER,along with a significant increase in eGFR after treatment(P<0.05).Compared with the control group post-treatment,the treatment group showed significantly lower levels of TCMSS,FPG,2 h PBG,Scr,β2-MG,CysC,and UAER,as well as a significantly higher eGFR(P<0.05).Conclusion Shenqi Tangshen Formula demonstrates significant clinical efficacy in early-stage DKD patients with qi and yin deficiency and blood stasis type.It effectively alleviates clinical symptoms,improves glycemic control,and exerts renal protective effects.
张礼玉;周思锋;郭培剑;陆明;朱垚
江苏省如东县中医院,江苏 如东 226400江苏省如东县中医院,江苏 如东 226400||江苏省非编码 RNA 基础与临床转化重点实验室,江苏 扬州 225000江苏省如东县中医院,江苏 如东 226400南京中医药大学第一临床医学院,江苏 南京 210023南京中医药大学第一临床医学院,江苏 南京 210023
医药卫生
糖尿病肾脏病气阴两虚夹瘀型参芪糖肾方
diabetic kidney diseaseqi and yin deficiency with blood stasis typeShenqi Tangshen Formula
《陕西中医药大学学报》 2026 (3)
33-38,6
南通市卫生健康委指令性科研课题(QN2023057)
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