目的 分析补阳还五汤加减治疗肾病综合征(NS)的临床疗效。方法 选择本院2019年1月—2021年1月住院治疗的120例NS患者,通过随机数字表法分组,参照组60例患者采纳常规西医治疗,试验组60例患者在参照组基础上予以补阳还五汤治疗,对比2组临床疗效、中医症候积分、肾功能指标、不良反应总发生率。结果 试验组临床总有效率(96.67%)高于参照组(80.00%),试验组治疗后浮肿少尿、腰膝酸软、腹部胀满、头晕乏力积分均低于参照组,差异均有统计学意义(P＜0.05)。治疗后试验组24 h尿蛋白、尿素氮均比参照组低,差异有统计学意义P＜0.05,血肌酐治疗前后差异无统计学意义P>0.05。试验组不良反应总发生率(5.00%)与参照组(6.67%)比较,差异无统计学意义(P>0.05)。结论 补阳还五汤可有效改善NS患者临床症状、肾功能,降低蛋白尿,且不良反应较少,安全性较高,疗效确切。

Objective To analyze the clinical effect of addition or reduction of Buyang Huanwu decoction in the treatment of nephrotic syndrome (NS). Methods A total of 120 NS patients in our hospital from January 2019 to January 2021 were divided into two groups by random digital table method. Sixty patients in the control group were treated by conventional western medicine, 60 patients in the experimental group were treated with Buyang Huanwu decoction on the basis of control group.The clinical efficacy, traditional Chinese medicine syndrome score, renal function index and total incidence of adverse reactions were compared. Results The total clinical effective rate of the experimental group (96.67%) was higher than that of the control group (80.00%). The scores of edema and oliguria, lumbar and knee pain and limpness, abdominal distention and dizziness after treatment in the experimental group were all lower than those in the control group, with statistical significance (P<0.05). After treatment, 24 h urinary protein volume and blood urea nitrogen level in the experimental group were lower than those in the control group, the differences were statistically significant (P<0.05), while there was no statistically significant difference in serum creatinine before and after treatment (P>0.05). There was no significant difference in the total incidence of adverse reactions between the experimental group (5.00%) and the control group (6.67%,P>0.05). Conclusion Buyang Huanwu decoction could effectively improve the clinical symptoms and renal function, reduce proteinuria, and had less adverse reactions, high safety level and accurate curative effect.

目的 分析不同黄芪剂量补阳还五汤治疗大鼠慢性难愈性创面的疗效。方法 选择SPF级健康雄性SD大鼠78只作为本次研究材料,在其背部实施造模创建皮肤缺损性创面,并随机分为不同剂量（15 g、30 g、60 g、120 g）黄芪组,观察并对比各组大鼠创面愈合率及愈合时间。结果 对照组创面愈合率比造模后第3天、7 天、11 天高,差异有统计学意义（P<0.05）;不同剂量黄芪组（排除黄芪组15 g第11天）创面愈合率比模型组高,差异有统计学意义（P<0.05）;第3 d对照组创面愈合率比黄芪组30 g、120 g低,差异有统计学意义（P<0.05）;黄芪15 g组各时间点创面愈合均比黄芪120 g组低,差异有统计学意义（P<0.05）;对照组创面愈合时间较模型组延长,差异有统计学意义（P<0.05）;对照组创面愈合时间较黄芪组延长,差异有统计学意义（P<0.05）;黄芪15 g组创面愈合时间较黄芪组120 g延长,差异有统计学意义（P<0.05）;黄芪30 g、60 g创面愈合时间较黄芪组120 g组延长,差异有统计学意义（P<0.05）。结论 不同黄芪剂量补阳还五汤均具有促进慢性难愈性创面愈合效果,利于缩短创面愈合时间,其中以黄芪30 g、60 g、120 g效果较为显著。