Efficacy and Safety of Chinese Herbal Formula Granules in Treating Chronic Kidney Disease Stage 3: A Multicenter, Randomized, Placebo-Controlled, Double-Blind Clinical Trial.

4区 医学 Q2 Medicine Evidence-based Complementary and Alternative Medicine Pub Date : 2020-10-21 eCollection Date: 2020-01-01 DOI:10.1155/2020/4073901
Jing Zhao, Wei Sun, Jihong Chen, Zhuxing Sun, Dai Chen, Chunhua Cao, Min Yang, Jipei Ma, Ling Wang, Changying Xing, Yan Chen, Meixiao Sheng, Enchao Zhou, Lingdong Xu, Kun Gao, Lihua Liu, Qiong Liu, Lan Yi, Weiming He, Yuanyuan Zhu
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引用次数: 4

Abstract

Background: It is generally considered that traditional Chinese medicine (TCM) therapy postpones the progression of some chronic kidney diseases (CKDs). Chinese medicine herbs are widely applied in TCM therapy. We aimed to evaluate clinical efficacy and safety of Chinese herbal formula granules in patients with CKD stage 3 through a prospective randomized controlled study.

Methods: A total of 343 participants with CKD stage 3 were recruited from 9 hospitals in Jiangsu Province between April 2014 and October 2016. Participants were randomly assigned to a treatment or control group. Patients in the treatment group orally took Chinese herbal formula granules twice a day, while controls received placebo granules. The duration of intervention was 24 weeks. Primary outcomes were 24-hour proteinuria, serum creatinine, and eGFR, which were measured every 4 weeks.

Results: There was no statistical difference in 24-hour proteinuria between the two groups (0.97 ± 1.14 g/d vs. 0.97 ± 1.25 g/d). Patients in the treatment group had significantly lower serum creatinine level (130.78 ± 32.55 μmol/L versus 149.12 ± 41.27 μmol/L) and significantly higher eGFR level (55.74 ± 50.82 ml/min/1.73·m2 versus 44.46 ± 12.60 ml/min/1.73·m2) than those in the control group (P < 0.05). There was no significant difference between two groups in the incidence of adverse events.

Conclusion: The treatment adopting Chinese herbal formula granules for 24 weeks improved kidney function of patients with CKD stage 3.

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中药配方颗粒治疗慢性肾脏疾病的疗效和安全性:一项多中心、随机、安慰剂对照、双盲临床试验
背景:一般认为中药治疗可以延缓某些慢性肾脏疾病(CKDs)的进展。中草药在中医治疗中应用广泛。我们旨在通过一项前瞻性随机对照研究,评估中药配方颗粒治疗CKD 3期患者的临床疗效和安全性。方法:2014年4月至2016年10月,从江苏省9家医院招募343名CKD 3期患者。参与者被随机分配到治疗组或对照组。治疗组患者口服中药配方颗粒剂,每日2次,对照组患者口服安慰剂颗粒剂。干预时间为24周。主要结果是24小时蛋白尿、血清肌酐和eGFR,每4周测量一次。结果:两组24小时蛋白尿差异无统计学意义(0.97±1.14 g/d vs. 0.97±1.25 g/d)。治疗组患者血清肌酐水平(130.78±32.55 μmol/L)显著低于对照组(149.12±41.27 μmol/L), eGFR水平(55.74±50.82 ml/min/1.73·m2)显著高于对照组(44.46±12.60 ml/min/1.73·m2) (P结论:中药配方颗粒剂治疗24周可改善CKD 3期患者肾功能。
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来源期刊
Evidence-based Complementary and Alternative Medicine
Evidence-based Complementary and Alternative Medicine 医学-全科医学与补充医学
自引率
0.00%
发文量
1983
审稿时长
2.2 months
期刊介绍: Evidence-Based Complementary and Alternative Medicine (eCAM) is an international, peer-reviewed journal that seeks to understand the sources and to encourage rigorous research in this new, yet ancient world of complementary and alternative medicine. The journal seeks to apply scientific rigor to the study of complementary and alternative medicine (CAM) modalities, particularly traditional Asian healing systems. eCAM emphasizes health outcome, while documenting biological mechanisms of action. The journal is devoted to the advancement of science in the field of basic research, clinical studies, methodology or scientific theory in diverse areas of Biomedical Sciences. The journal does not consider articles on homeopathy.
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