药物配合心理疗法治疗糖尿病肾病的临床研究

Effect of Integrated Medicine and Psychotherapy on Diabetic Nephropathy

关键词:  糖尿病肾病  益肾活血方煎剂  中西医结合  心理疗法

Key words:  diabetes nephropathy  Yishen Huoxue Fang  integrated TCM and western medicine  psychotherapy

摘要:

[目的]探讨中西医结合配合心理疗法治疗糖尿病肾病的疗效。[方法]按照mogensen糖尿病肾病分期方案,在西药常规治疗的基础上配合中药益肾活血方煎剂及心理治疗,对肝肾气阴两虚兼血瘀型糖尿病肾病进行了治疗观察,并与单纯西药组作对照。[结果]治疗组总有效率为83.33%,西药对照组总有效率为57.14%,两组疗效比较有显著性差异(P<0.05),且治疗组在改善糖尿病肾病患者临床症状,降低血糖、血肌酐,减少尿蛋白,降低血、尿微球蛋白,调节脂代谢,改善血液流变学和病人心理状况等方面,疗效均优于单用西药的对照组(P<0.05)。[结论]中西医结合配合心理疗法治疗糖尿病肾病疗效良好。

Abstract:

[Objective] To investigate the therapeutic effect of integrated medicine and psychotherapy on diabetic nephropathy(DN).[Methods] According to the Mogensen’s project about stages,based on the routine treatent the effect of Yishen huoxue(tonifying)kidney and activating(type of deficiency of both qi and yin complicated with blood stasis)were observed and compared with the western medicine only group.[Result] The total effective rate was 83.33% in treatment group,while that of control group was 57.14%.There was a significant difference between two groups(P<0.05).The curative effect in ameliorating clinical symptoms,reducing blood glucose and creatinine,diminishing urinary protein,lowering β2-microglobulin,regulating lipid metabolism,improving blood rheology and psychologic status was better than that of control group(P<0.05).[Conclusion] Integrated medicine and psychotherapy posses a good therapeutic effect on diabetic nephropathy.