【摘要】 目的:探讨传统中成药甘露消毒丸是否为慢性肾小管间质肾病(CTN)的发病危险因素。方法:调查温州市几个大型社区居民,将资料登记完整及符合研究对象标准的652例进行非配比的病例对照研究。以均衡性检验比较病例组与对照组在性别、职业、年龄、受教育程度的构成,计算甘露消毒丸引起CTN的相对危险度,并计算暴露人群的归因分值及人群归因分值。结果:均衡性检验表明病例组与对照组患者的性别、年龄、受教育程度的构成没有统计学差异,职业构成有统计学差异。使用甘露消毒丸诱发慢性肾小管间质肾病的相对危险性(OR值)为37．08(P＜0．001),OR值95%可信区间(CI)为(13．16～104．49),经非条件logistic回归分析控制职业影响之后, OR值、95%CI值分别为58．53、17．25～198．59。暴露人群的归因分值为98．29%,人群归因分值57．98%。结论:甘露消毒丸是温州市慢性肾小管间质肾病的发病危险因素。推测与该药中的关木通含有马兜铃酸有关联。更多还原

【Abstract】 Objective:To verify whether ganluxiaodu pills(a traditional Chinese medicine containing caulis aris- tolochiae manshuriensts)is a morbid risk factor of chronic tubulointerstitial nephropathy(CTN).Method:652 residents in several districts were investigated.The odds ratio(OR)of CTN caused by ganluxiaodu pills were calculated by means of lo- gistic regression analysis.All the data were analyzed by SPSS 12.0.Result:The homogeneity test showed there was no sig- nificant difference in age,sex,and education between the two groups,while there was significant difference in profession. The exposure to ganluxiaodu pills was screened as the valid risk factor of CTN with OR 37.08(P＜0.001)and OR 95% confidence interval(CI):13.16-104.49.After a non-conditional logistic regression analysis was done to control profes- sions,the ORs were 58.53 and 95% CIs of ORs were 17.25-198.59.The attribution fraction of the exposed population group was 98.29% and that of the whole population group was 57.98%.Conclusion:This case-control study indicated ganluxiaodu pills containing caulis aristolochiae manshuriensts was an independent risk factor of CTN in Wenzhou City.It might be related to aristolochic acid in ganluxiaodu pills.更多还原