中医治疗慢性肾小球肾炎临床研究进展分析研究 高级护理专业VIP专享

中医治疗慢性肾小球肾炎临床研究进展 摘要：中医治疗慢性肾小球肾炎有一定优势。综合近几年的文献，其治疗方式除辨证论治外，还有对症治疗、主方加减治疗、中成药治疗、单味中药治疗及内外治结合治疗，临床上均取得满意疗效。但目前大多数文献仅是一般临床经验总结，缺乏严格意义上的研究。因此，今后应进行客观化评估筛选，开展相关治疗机理的实验研究及规范的临床观察。 关键词：慢性肾小球肾炎；中医治疗；综述 DOI：10.3969/j.issn.1005-5304.2016.06.035 中图分类号：R272.969.23 文献标识码：A 文章编号：1005-5304（2016）06-0130-04 Abstract： Traditional Chinese medicine has advantages in treating chronic glomerulonephritis. According to the articles in recent years， the therapeutic methods of TCM include not only syndrome differentiation， but also symptomatic treatment， modification of the chief prescriptions， Chinese traditional patent medicine， single Chinese herb， and combined internal and external treatment， which all have achieved some remarkable effects. However， the majority of articles were about personal experience and clinical observation which lack experimental study on the therapeutic mechanism. Therefore， the results of relative researches should be under objective evaluation. A large number of experimental researches on the therapeutic mechanism and standardized clinical observation need to be carried out in the future. Key words： chronic glomerulonephritis； TCM treatment； review 慢性肾小球肾炎（chronic glomerulonephritis，CGN）是一组起病缓慢，病情迁延，临床以蛋白尿、血尿、水肿和高血压为基本表现，最终发展为慢性肾功能衰竭的原发肾小球疾病。CGN 是一种免疫介导性炎症疾病，预后多不佳，目前西医尚无满意治疗方法，中医治疗优势相对明显。兹就近年来中医治疗 CGN 现状综述如下。 1 辨证论治 王铁良根据 CGN 各期的临床表现特点，将本病辨为 5个证型进行治疗。①肝肾亏虚、先天不足证，治以滋水涵木兼祛湿邪，方用参芪地黄汤加减；②肺肾阴虚、热毒结喉证，治以补肺滋肾、清...