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奚氏痛风灵治疗原发性痛风与肾损害的临床观察

Clinical Observation of "Xi’s Tongfengling" in treating Primary Gout and Renal Damage

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【作者】 赵兆琳; 王义成; 李厚铨; 吴伟达; 陆峥洪; 杨沁彤;

【Author】 ZHAO Zhao-lin WANG Yi-cheng LI Hou-quan WU Wei-da LU Zheng-hong YANG Qin-tong Supervisor:XI Jiu-yi Gout Department of Shanghai Integrated Chinese-Western Medicine Hospital

【机构】 上海市中西医结合医院痛风专科; 上海市中西医结合医院痛风专科 上海200082; 上海200082; 上海200082;

【摘要】 根据奚氏“脾肾两虚、内湿致痹”的学术观点 ,用痛风灵经验方加减治疗原发性痛风 5 16例并对 144例肾损害进行观察。结果 :原发性痛风关节炎近期疗效在降低血尿酸、控制关节炎复发方面 ,优 :35 0例 ,良 :118例 ,好转2 4例 ,无效 2 4例 ,总有效率 95 .34%。 46 4例远期随访 3~ 10年 ,优良者占 415例 ,有效率 89.44 % ,治疗前后比较P<0 .0 0 1。慢性高尿酸血症肾病 144例的近期疗效 :肾损轻度 10 2例中 ,有效 92例 ,有效率 90 .19% ,肾损中度 37例中 ,有效 2 8例 ,有效率 75 .6 8% ,总有效率 86 .33%。

【Abstract】 According to Xis academic viewpoint "Arthritis is caused by kidney-spleen asthenia and internal dampness accumulation","Xis Tongfengling" was made and employed to treat primary gout in 516 case and renal damage in 144 cases.Results showed excellent effect in 350 cases,good effect in 118 cases,improvement in 24 cases and failure in 24 cases in reducing serum uric acid and controlling the relapse of arthritis in a short time,the total effective rate being 95.34%;3~10-year follow-up in 464 cases showed excellent and good effect in 415 cases(89.44%), P <0.001 between pre-treatment and post-treatment.In the 144 cases of renal damage,92 cases obtained effectiveness among the 102 cases of slight renal damage and the effective rate was 90.19%;28 cases got effectiveness among the 37 cases of middle renal damage and the effective rate was 75.68%;the total effective rate was 86.33%.

【关键词】 奚九一; 痛风灵; 原发性痛风; 肾损害;
【Key words】 Xi Jiuyi; "Tongfengling"; primary gout; renal damage;
  • 【文献出处】 上海中医药杂志 ,Shanghai Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2001年10期
  • 【分类号】R259.897
  • 【被引频次】65
  • 【下载频次】189
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