雷公藤片联合苯那普利治疗慢性肾炎的疗效观察

Yudong Liu
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摘要

目的探讨雷公藤片联合贝那普利治疗慢性肾炎的临床疗效。方法选择2015年1月至2018年12月商丘市第四人民医院诊治的慢性肾炎患者80例,采用随机数字表法分为对照组和观察组。对照组患者给予贝那普利治疗,观察组患者给予雷公藤片与贝那普利联合治疗。比较两组患者的临床诊断及治疗效果。结果治疗后,观察组临床治愈率为87.50%(35/40),显著高于对照组72.50%(29/40),差异有统计学意义(P < 0.05)。两组患者治疗后肌酐、血尿素氮、红细胞计数、肾小球滤过率、24 h尿蛋白定量、尿β2微球蛋白、尿红细胞计数等肾功能指标均有改善,且观察组改善程度大于对照组(P < 0.05)。结论雷公藤片联合苯那普利联合治疗慢性肾炎可获得较好的诊疗效果,对改善临床表现具有积极意义,并能有效改善患者肾功能,安全性较高。关键词:慢性肾炎;雷公藤片;贝那普利;临床疗效
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Effects of tripterygium wilfordii tablets combined with benazepril on patients with chronic nephritis
Objective To investigate the clinical efficacy of tripterygium wilfordii tablets and benazepril combination therapy in the treatment of patients with chronic nephritis. Methods Eighty patients who underwent diagnosis and treatment for chronic nephritis in Fourth People’s Hospital of Shangqiu from January 2015 to December 2018 were selected and divided into control group and observation group by random number table method. Patients in the control group were treated with benazepril therapy, and patients in the observation group were treated with tripterygium wilfordii tablets and benazepril combination therapy. The clinical diagnosis and treatment outcomes of the two groups were compared. Results After treatment, the clinical cure rate of the observation group was 87.50% (35/40), significantly higher than the 72.50% (29/40) in the control group (P 0.05). The levels of renal function indexes, such as creatinine, blood urea nitrogen, red blood cell count, glomerular filtration rate, 24 h urine protein quantitation, urine β2-microglobulin, and urinary red blood cell count, were improved in both groups after treatment, and the improvement in the observation group was greater than the control group (P 0.05). Conclusions Tripterygium wilfordii tablets and benazepril combination therapy can get good diagnostic and therapeutic outcomes in the treatment of chronic nephritis, which has positive significance for the improvement of clinical manifestation, and can effectively improve the renal function of patients, with higher safety. Key words: Chronic nephritis; Tripterygium wilfordii tablet; Benazepril; Clinical efficacy
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