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The observation of the therapeutic effect and the influence on the immune function of the method of invigorating the spleen and tonifying the kidney,supplementing qi and removing turbidity in the treatment of diabetic nephropathy stage Ⅲ
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DOI   10.11656/j.issn.1673-9043.2021.01.10
Key Words   methods of invigorating spleen and kidney,supplementing qi and removing turbidity;valsartan;diabetic nephropathy;glomerulus;immune function
Author NameAffiliation
WANG Zhenyu Emergency Department of Tangshan Hospital of Traditional Chinese Medicine, Tangshan 063000, China 
GAO Chao Department of Surgery, Kailuan General Hospital Zhaogezhuang Hospital, Tangshan 063000, China 
XING Xiuling Department of Traditional Chinese Medicine, Tangshan Maternal and Child Health Hospital, Tangshan 063000 China 
KANG Huamin Department of Critical Medicine, Affiliated Hospital of North China University of Technology, Tangshan 063000, China 
YUAN Ling Department of Endocrinology, Tangshan Workers Hospital, Tangshan 063000, China 
Abstract
    [Objective] To observe the clinical effect and immune function of invigorating the spleen and tonifying the kidney,supplementing qi and removing turbidity in the treatment of diabetic nephropathy stage Ⅲ.[Methods] Patients with diabetic nephropathy of stage Ⅲ were randomly divided into control group and observation group,both of which received routine treatment and nursing. The control group received valsartan capsule,80 mg,1/d. The observation group was added with Chinese herbal medicine decoction on the basis of the control group. The course of treatment was 8 weeks. Before and after the treatment,the therapeutic indexes,renal damage related indexes and immune function indexes were detected.[Results] After treatment,the symptom score,systolic blood pressure (SBP),diastolic blood pressure (DBP),fasting blood glucose (FBG),total cholesterol (TC),β2-microglobulin (β2-mg),urinary albumin excretion rate (UAER),serum creatinine (SCr) and CD8+. level were significantly lower than control group. The levels of erum creatinine,SCr and CD8+ in the observation group were significantly higher than those in the control group (P<0.05). The total effective rate of the observation group was 93.75%,which was significantly higher than that of the control group (62.50%) (P<0.05).[Conclusion] The method of invigorating the spleen and tonifying the kidney,supplementing qi and removing turbid can effectively reduce the level of β2-mg,UAER,SCr and BUN,improve the immune function of the patients with diabetic nephropathy,protect the glomerulus of the patients with diabetic nephropathy,and delay the progression of diabetic nephropathy.

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