Clinical observation of hypertension with nephropathy treated by integrated Chinese and Western medicine / 中国基层医药

ABSTRACT

Objective To study the clinical efficacy of hypertension with nephropathy treated by integrated Chinese and Western medicine. Methods 75 patients with hypertensive nephropathy were divided into the integrated Chinese and Western medicine group (group A) and 35 cases of pure western medicine treatment group (group B) ; The change of whole blood viscosity at low shear rate(ηbL)、 whole blood viscosity at high shear rate( ηbH)、fibrino-gen( Fg)、 serum albumin(Alb)、hemoglobin(Hb)、urine prottein( Up)、blood urea nitrogen( BUN) 、creatinine( SCr)、 creatinine clearance rate( CCr)、residual renal function index ( RRFI) before treatment and after treatment were observed. Results The effective rate 31 cases(88.5% ) in group A was significantly higher than the B group 23 cases (65.7%)(x2 =3.98,P<0 05);The contents of ηbL、ηbH、BUN、Scr、CCr and RRFI in treatment group after treatment had significant difference wmpared with that before treatment(t = 2. 121,t = 223,t =2. 324,t = 2. 375,t = 2. 371 ,t =2. 265 ,t = 2. 415 ,t =2.771 ,P <0.05) ;The contents of Up、BUN、Scr、CCr、RRFI were significantly different in two groups after treatment(t =2.331 ,t = 2.378,t =2.411,t =2. 378,t =2.391 ,P <0.05). Conclusion Integrated Chinese and Western medicine for hypertensive nephropathy had good efficacy,was a safe and effective method.