肾复康对脾肾亏虚、瘀毒内蕴型CKD2~4期患者肾功能及血清TGF-β1和CTGF水平的影响
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湖南省科技厅-临床医疗技术创新引导项目(2021SK51004); 湖南省中医药研究院科研课题重点项目(202015); 湖南省中医药科研计划项目重点项目(2021202);


Influence of Shenfukang on renal function and serum TGF-β1 and CTGF levels in patients with stage 2-4 CKD of spleen-kidney deficiency and sta-sis-toxin internal accumulation
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    摘要:

    目的:探讨肾复康对脾肾亏虚、瘀毒内蕴型慢性肾脏病(CKD)2~4期患者肾功能及转化生长因子-β1(TGF-β1)和结缔组织生长因子(CTGF)水平的影响。方法:选取98例CKD2~4期患者为研究对象,按照治疗方案不同将患者分为对照组和观察组,每组各49例。对照组患者给予常规西医治疗;观察组患者在常规西医治疗加服肾复康颗粒治疗,疗程均为12周。比较两组患者肾功能指标[尿素氮(BUN)、血清白蛋白(ALB)、血肌酐(Scr)及尿酸(UA)水平]、血脂指标[总胆固醇(TC)和甘油三酯(TG)水平]、血液流变学指标[全血黏度高切(WHV)、全血黏度低切(WLV)、血浆黏度(PV)和红细胞聚集指数(EAI)]、血清因子水平[TGF-β1和CTGF水平]及临床疗效。结果:治疗12周后,两组患者BUN、Scr和UA水平、WHV、WLV、PV和EAI值及TGF-β1和CTGF水平均下降(P<0.05),且观察组低于对照组(P<0.05);两组患者ALB、TC和TG水平比较,差异无统计学意义(P>0.05)。观察组患者治疗总有效率高于对照组(91.84%vs.77.55%,P<0.05)。结论:常规西医治疗联合肾复康治疗脾肾亏虚、瘀毒内蕴型CKD2~4期患者,可保护肾功能,改善血液流变学特性,降低TGF-β1和CTGF水平,且疗效好。

    Abstract:

    Objective:To explore the influence of Shenfukang on renal function and levels of transforming growth factor-β1(TGF-β1)and connective tissue growth factor(CTGF)in patients with stage 2~4 chronic kidney disease(CKD)of spleen-kidney deficiency and stasis-toxin internal accumulation.Methods:A total of 98 patients with stage 2~4 CKD were selected,and were divided into control group(n=49)and observation group(n=49)by means of different treatment regimens.The control group was treated with conventional western medicine,whereas the observation group was added with Shenfukang granules on this basis.The observation period was 12 weeks.The renal function indexes[blood urea nitrogen(BUN),serum albumin(ALB),serum creatinine(Scr)and uric acid(UA)],blood lipids[total cholesterol(TC)and triglyceride(TG)],hemorheology indexes[whole blood high-shear viscosity(WHV),whole blood low-shear viscosity(WLV),plasma viscosity(PV)and erythrocyte aggregation index(EAI)]and serum factors(TGF-β1 and CTGF)before and after medication and clinical efficacy were compared between the two groups.Results:Compared with before medication,the levels of BUN,Scr and UA,WHV,WLV,PV and EAI,TGF-β1 and CTGF after 12 weeks of medication were re-duced in both groups(P<0.05),and the above indexes in the observation group were lower compared with those in the control group(P<0.05),and there were no significant differences in ALB,TC and TG levels between groups(P>0.05).After 12 weeks of medica-tion,the total effective rate of treatment was higher in the observation group compared to the control group(91.84%vs.77.55%,P<0.05).Conclusion:Shenfukang can protect renal function,improve hemorheology and reduce the levels of TGF-β1 and CTGF in patients with stage 2-4 CKD of spleen-kidney deficiency and stasis-toxin internal accumulation.

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胡梁;程丙又;齐亮;李仲普;潘前;刘劲松;.肾复康对脾肾亏虚、瘀毒内蕴型CKD2~4期患者肾功能及血清TGF-β1和CTGF水平的影响[J].川北医学院学报,2025,40(4):446-449 458.

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  • 在线发布日期: 2025-07-24
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