止血方治疗肾性血尿

止血方治疗肾性血尿

张世涛，何学红，远方

(辽宁中医药大学附属医院，沈阳 110032)

摘要：目的探究止血方治疗肾性血尿的临床疗效。方法肾性血尿患者60例，采用随机数字表随机分为2组，每组30例。其中对照组给予潘生丁、芦丁等常规西药治疗，治疗组则在对照组的基础上应用中药止血方治疗。2组均15 d为1个疗程，治疗2个疗程。治疗结束后，检测临床总有效率，对比治疗前后患者离心尿检红细胞数量、24 h尿蛋白含量的改善情况。结果经治疗后，2组患者临床症状有所善，治疗组患者治疗后总有效率为86.67%，对照组患者治疗后总有效率为73．33%，治疗组有效率明显优于对照组，差异有统计学意义(P<0．05)；经治疗后2组患者离心尿检红细胞数量、24 h尿蛋白含量的比较显示，2组患者均有所好转，且治疗组改善优于对照组，差异有统计学意义(P<0．05)。结论止血方具有补脾益肾、益气养阴、清利湿热、凉血止血之功效，能够明显改善肾功能,降低离心尿检红细胞数量，减少蛋白尿，有效治疗肾性血尿。

关键词：止血方；肾性血尿；补脾益肾；益气养阴；清利湿热

DOI:10.13463/j.cnki.jlzyy.2015.11.015

中图分类号：R695.8文献标志码： A

基金项目：辽宁省医学高峰建设工程重点科研项目(200943)。

作者简介：张世涛(1979-)，男，硕士，主治医师，主要从事肾内科疾病中医药临床诊疗研究。

Hemostatic treatment of renal hematuria

ZHANG Shitao, HE Xuehong, YUAN Fang

(The Affiliated Hospital to Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China)

Abstract：ObjectiveTo explore the curative effect of hemostatic treating renal hematuria. MethodsSelection of 60 renal hematuria patients with random number table randomly divided into two groups,each group 30 cases,the control group was given Dipyridamole and Rutin etc. routine drug therapy,such as the treatment group were applied in hemostatic of Chinese Medicine on the basis of control group hemostatic treatment. Two groups as a course of 15 days， two courses of treatment. After treatment,test the clinical total effective rate,compared with patients before and after treatment of centrifugal urine red blood cell quantity,the improvement of the 24 h urine protein. ResultsAfter treatment, two groups of patients with clinical symptoms were better, the treatment group patients after treatment the total effective rate was 86.67%,control group patients’ total effective rate was 73.33%,treatment group effectiveness was better than control group,the difference was statistically significant (P < 0.05).Two groups of patients after treatment of centrifugal urine red blood cell quantity， the 24 h urine protein,according to the comparison of two groups of patients were improved， and treatment group improved better than that of control group,the difference was statistically significant (P < 0.05).ConclusionThe hemostatic with tonifying spleen and kidney,nourishing qi and yin,clearing damp and hot,cool blood effect,can significantly improve renal function, reduce the centrifugal urine red blood cell quantity, reduce proteinuria,effective treatment for renal hematuria.

Keywords：hemostatic; renal hematuria; tonifying spleen and kidney; nourishing qi and yin; clearing damp and hot

肾性血尿是指排除肾外出血因素，由肾小球疾病引起的血液通过肾脏随尿液排出的肾脏疾病[1]，临床上表现为单纯性血尿或血尿伴蛋白尿，可见于各种原发性肾小球疾病，例如急慢性肾小球肾炎、隐匿型肾小球肾炎等，也可见于继发性肾小球疾病[2]。其中隐匿性肾小球肾炎也称为无症状血尿及蛋白尿，大部分患者无临床症状，可以发生于任何年龄段的急慢性肾病患者。近年来，患病人数逐年升高，所以对于该病的有效治疗则显得尤为重要。现代医学针对肾性血尿的发生机制进行了深入研究，并总结出较多有效的诊断技术和治疗方法，目前临床上常以使用免疫抑制剂为主要治疗方向[3]，但是不能从根本消除本病的致病因素，且疗效不明确。……