益肾化瘀透邪方治疗系统性红斑狼疮肾炎的临床效果及对感染的预防效果研究

Clinical effect of Yishen Huayu Touxie Decoction on treatment of systemic lupus erythematosus nephritis and prevention of infection

  • 摘要: 目的 探究益肾化瘀透邪方治疗系统性红斑狼疮肾炎的临床效果及对并发感染的预防效果。方法 选取于2014年12月-2017年9月医院收治的52例系统性红斑狼疮肾炎患者为研究对象,根据随机数字表法分为实验组和对照组;实验组应用益肾化瘀透邪方联合环磷酰胺和强的松治疗;对照组应用环磷酰胺和强的松治疗。2组均治疗6个疗程(一个疗程为4周);观察两组患者的临床治疗效果、系统性红斑狼疮肾炎活动指数评分、肝肾功能、血浆白蛋白、白细胞计数等指标,同时观察感染发生情况及其他不良反应。结果 实验组的临床有效率为96.15%,治疗后,与对照组相比,实验组患者的SLEDAI评分、ESR、ds-DNA抗体含量、24h尿蛋白及尿红细胞计数均得到显著降低(P<0.05),血白细胞计数、血清白蛋白及肌酐均显著升高(P<0.05);感染发生率显著降低(P=0.026),且两组患者的不良反应发生率无统计学差异。结论 益肾化瘀透邪方对于治疗系统性红斑狼疮肾炎的临床效果和对其并发感染的预防效果疗效显著,值得临床进一步探究并且在临床上推广应用。

     

    Abstract: OBJECTIVE To explore the clinical effect of Yishen Huayu Touxie Decoction on treatment of systemic lupus erythematosus nephritis and prevention of concurrent infection.METHODS A total of 52 patients with systemic lupus erythematosus nephritis who were treated from Dec 2014 to Sep 2017 were recruited as the study objects and randomly divided into the experimental group and the control group.The experimental group was treated with Yishen Huayu Touxie Decoction combined with cyclophosphamide and prednisone,while the control group was treated with cyclophosphamide and prednisone.Both groups were treated for 6 courses,4 weeks a course.The clinical curative effect,systemic lupus erythematosus nephritis activity index score,liver and kidney function,plasma albumin level and white blood cell counts were observed and compared between the two groups of patients;the incidence rates of infection and other adverse reactions were analyzed.RESULTS The effective rate of clinical treatment of the experimental group was 96.15%.The SLEDAI score,ESR,ds-DNA antibody level,24-hour urine protein and urine erythrocyte level of the experimental group were sighificantly lower than those of the control group after the treatment(P<0.05),while the levels of serum white blood cell,albumin and creatinine of the experimental group were sighificantly higher than those of the control group(P<0.05),and the incidence rate of infection of the experimental group was significantly lower than that of the control group(P=0.026);there was no significant difference in the incidence of adverse reactions between the two groups of patients.CONCLUSION Yishen Huayu Touxie Decoction can achieve remarkable effect on treatment of the patients with systemic lupus erythematosus nephritis and on prevention of concurrent infection.It is worthy to be further studied and promoted in hospitals.

     

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