Abstract

Background To investigate the clinical effects of Chinese medicine decoction combined with glucocorticoid in treating children with primary nephrotic syndrome. Methods A total of 70 children with pediatric nephritis nephrotic syndrome treated at Weifang People's Hospital from January 2019 to December 2019 were randomly allocated to the therapy group and the control group, each with 35 cases. The control group was treated with conventional Western medicine, and the therapy group received Western medicine and Chinese medicine. After 12 weeks of treatment, the therapeutic effect of the two groups was compared. Results After receiving the treatment, the levels of urine protein (UPro), triglyceride, and cholesterol were significantly decreased in the two groups (p < 0.05), and these levels in the therapy group were much lower than those of the control group (p < 0.05). However, the level of albumin (ALB) was predominantly increased in the two groups after treatment (p < 0.05), and this level in the therapy group was much higher than that of the control group (p < 0.05). Moreover, the immune indicators, coagulation function, and recurrence rate were noticeably improved after treatment (p < 0.05), and the therapy group was better than the control group (p < 0.05). Furthermore, the comparison of renal function indexes, liver function indexes, and blood routine between the two groups showed no statistical significance in the incidence of adverse reactions between the two groups (p > 0.05). Conclusions For the treatment of refractory nephrotic syndrome in children, based on conventional shock therapy, the addition of traditional Chinese medicine (Liuwei Dihuang pill decoction) remedy can significantly improve the disease symptoms in children and improve the efficacy, and the incidence of adverse reactions is low.

Highlights

  • Primary nephrotic syndrome (PNS) is a syndrome of glomerular diseases caused by a variety of etiologies, with increased levels of proteinuria (>3.5 g/24 h), hypoalbuminemia, and hyperlipidemia and varying degrees of edema being the main manifestations of the clinical syndrome [1, 2]. e course of childhood nephrotic syndrome is protracted and difficult to heal, and it can enter adulthood at the longest

  • 20.43 ± 1.41, and there was no significant difference between the therapy group and the control group before treatment (p > 0.05)

  • Previous studies revealed that many hormonal Western medicines used to treat primary nephrotic syndrome could cause adverse reactions such as osteoporosis, digestive system infections, lipid metabolism disorders, atrophy of the

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Summary

Introduction

Primary nephrotic syndrome (PNS) is a syndrome of glomerular diseases caused by a variety of etiologies, with increased levels of proteinuria (>3.5 g/24 h), hypoalbuminemia (serum albumin

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