Effect and Mechanism of Yishen Simiaotang on Gouty Nephropathy with Renal Failure
10.13422/j.cnki.syfjx.20190820
- VernacularTitle: 益肾四妙汤加减治疗痛风性肾病合并肾衰竭的疗效及机制
- Author:
Wei ZHANG
1
;
Xiao-qin LIAO
2
;
Shu-yi DENG
1
;
Fang-xiu LU
1
;
Jing YUAN
3
Author Information
1. Tongren City People's Hospital, Tongren 554300, China
2. Gui'an New District CDC, Gui'an 550029, China
3. Guizhou Provincial People's Hospital, Guiyang 550002, China
- Publication Type:Research Article
- Keywords:
gouty nephropathy;
renal failure;
Yishen Simiaotang;
micro-inflammatory state
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2019;25(17):70-75
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the therapeutic effect and mechanism of Yishen Simiaotang on gouty nephropathy (GN) complicated with renal failure (RF). Method: Totally 96 cases of GN with RF treated at our hospital from March 2015 to December 2017 were divided into the control group (48 cases) and the observation group (48 cases) according to the random control principle. In addition to the basic therapy, allopurinol was added to the control group, and Yishen Simiaotang was added to observation group. After 2 months of treatment, the clinical efficacy and safety of two groups were compared. The urinary levels of β2-microglobulin (β2-MG), α1-microglobulin (α1-MG), 24 h urine protein (24 hUpro) and glomerular filtration rate (eGFR) were compared between two groups before and after treatment, and the levels of serum albumin (ALB), urea nitrogen (BUN), serum creatinine (SCr) and uric acid (UA) were detected and compared before and after the treatment. The serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and hypersensitivity C reactive protein (hs-CRP) were compared before and after treatment between two groups. Result: The total effective rate of observation group was 89.58%, which was significantly higher than 72.92%of control group (χ2=4.376,P<0.05). After treatment, BUN, SCr and UA in both groups were significantly decreased, whereas eGFR level was significantly increased than before treatment (P<0.05). After treatment, the levels of β2-MG, α1-MG, 24 hUpro in both groups decreased significantly (P<0.05), while the indexes of observation group improved more significantly (P<0.05). After treatment, the levels of TNF-α, hs-CRP and IL-6 in both groups were significantly lower than those before treatment, and the decrease in observation group was more obvious than that in control group (P<0.05). There was no significant difference in the incidence of adverse reactions between two groups. Conclusion: Yishen Simiaotang is effective in the treatment of GN combined with RF, and can reduce renal tubule injury, improve renal function, regulate the state of micro-inflammation, with a high safety.
