文档介绍：:..大黄牡蛎汤灌肠治疗痛风性肾病的临床观察摘要:目的研究大黄牡蛎汤灌肠治疗痛风性肾病的临床效果,为临床痛风性肾病的治疗提供依据。方法将86例痛风性肾病患者随机分为2组,治疗组46例,对照组40例,2组患者均予低盐低嘌呤饮食,对照组予别嘌呤醇、碳酸氢钠片口服,治疗组则在对照组基础上加用大黄牡蛎汤保留灌肠,观察2组治疗前后患者血尿酸、血肌酐、尿素氮及24h尿蛋白定量。结果治疗组总有效率为8913%,对照组总有效率为725%,2组比较,右显著性差异(P〈005)。治疗后2组均能明显降低血尿酸水平,组间比较无显著性差异(P>005);但在改善肾功能及尿蛋白水平方面,治疗组疗效优于对照组(P<005)o结论大黄牡蛎汤保留灌肠治疗痛风性肾病,对于降低血尿酸及减轻蛋G尿,延缓肾功能损害等方面疗效显著,无明显不良反应,值得临床推广。本文采集自网络,本站发布的论文均是优质论文,供学****和研究使用,文中立场与本网站无关,版权和著作权归原作者所有,如有不愿意被转载的情况,请通知我们删除己转载的信息,如果需要分享,请保留本段说明。关键词:大黄牡蛎汤;灌肠;痛风性肾病;肾功能;血尿酸;蛋白尿中图分类号:R692文献标志码:B文章编号:1007-2349(2017)07-0045-03LAbstract]Objective:TostudytheclinicaleffectofRhubarbOysterDecoctiononthetreatmentofgoutynephropathy,andtoprovidethebasisforthetreatmentofclinicalgoutynephropathyMethods:86patientswithgoutynephropathywererandomlydividedintoatreatmentgroup(n=46)andacontrolgroup(n=40)AllthepatientsweregivenlowsaltandhypopurinedietThecontrolgroupwastreatedwithallopurinolandsodiumbicarbonatetabletswhilethetreatmentgroupwasgivenretentionenematreatmentwithrhubarboystersouponthebasisoftreatmentofthecontrolgroupThelevelsofserumuricacid,serumcreatinine,urinenitrogenand24-hoururineproteinwereobservedbeforeandaftertreatmentResults: Thetotaleffectiverateofthetreatmentgroupwas8913%whilethatofthecontrolgroupwas725%Therewassignificantdifferencebetweenthetwogroups(P<005)Thelevelsofserumuricacidofthetwogroupsdecreasedaftertreatment,butthe