陈明

[摘要] 目的 观察中西医结合治疗早期糖尿病肾病临床效果。 方法 研究对象来自2016年5月—2018年6月期间收治的76例早期糖尿病肾病患者，随机原则下均分两组，分别为常规组与观察组，各38例，常规组患者仅予以西医药物治疗，观察组患者予以中西医结合治疗。结果 观察组患者治疗总有效率（94.74%）高于常规组（81.58%），且治疗后观察组患者血糖、肾脏各项指标均优于常规组，对比差异有统计学意义（P<0.05）。 结论 采取中西医结合方法治疗早期糖尿病肾病临床效果显著，患者肾脏功能恢复较好，临床症状改善效果佳，临床应用价值较高。

[关键词] 糖尿病肾病;中西医结合;治疗;效果

[中图分类号] R587.2          [文献标识码] A          [文章编号] 1672-4062（2020）01（b）-0189-02

[Abstract] Objective To observe the clinical effect of integrated traditional Chinese and Western medicine in the treatment of early diabetic nephropathy. Methods 76 patients with early diabetic nephropathy admitted from May 2016 to June 2018 were randomly divided into two groups， 38 cases in the conventional group and the observation group each. The patients in the conventional group were treated with only Western medicine. The patients in the observation group were treated with integrated Chinese and Western medicine. Results The total effective rate of treatment in the observation group （94.74%） was higher than that in the conventional group （81.58%）. After treatment， the blood glucose and kidney indexes of the observation group were better than the conventional group（P<0.05）. Conclusion The clinical effect of the combination of traditional Chinese and western medicine in the treatment of early diabetic nephropathy is significant. The renal function recovery is better， the clinical symptoms are improved， and the clinical application value is higher.

[Key words] Diabetic nephropathy; Integrated Chinese and Western medicine; Treatment; Effect

糖尿病腎病临床上又被叫做糖尿病性肾小球硬化症，是糖尿病患者较为常见的一种并发症，属于微血管病变疾病范畴。对于糖尿病患者来说并发肾病是引起患者死亡的关键因素，因此为了降低糖尿病患者死亡率，在其早期并发糖尿病肾病时便需要积极加强治疗。大量临床实践研究发现，针对糖尿病肾病患者单纯采取西药治疗远期疗效不佳，患者肾脏功能恢复效果还较为欠缺，近年来随着中医治疗手段在各种疾病中的使用，取得有一定治疗效果[1]。该文选取2016年5月—2018年6月期间收治的76例早期糖尿病肾病患者，在此针对中西医结合治疗在早期糖尿病肾病患者中应用，现报道如下。

1  资料与方法

1.1  一般资料

研究对象来自该院收治的76例早期糖尿病肾病，随机原则下均分两组，分别为常规组与观察组，各38例，患者均明确诊断，对该次研究及诊疗过程知情且同意。常规组中男、女患者例数分别为21例、17例;年龄最小58岁，最大79岁，平均（63.4±4.7）岁;观察组中男、女患者例数分别为20例、18例，年龄最小57岁，最大78岁，平均为（64.1±4.6）岁。……