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探讨中药黄芪治疗老年人原发性肾病综合征的疗效。对比观察了单用糖皮质激素（Ｉ组）与激素＋黄芪（Ⅱ组）治疗老年人（年龄≥６０岁）肾病综合征的临床疗效。结果Ⅱ组的完全缓解率和总有效率为４２％和６７％，显著高于１组的１７％和４２％（Ｐ＜０．０５）。而Ⅱ组的复发率仅８％，明显低于Ⅰ组３３％（Ｐ＜０．０５）。提示在常规糖皮质激素治疗的基础上加用黄芪治疗老年人原发性肾病综合征可明显提高疗效，减少复发。
To investigate the curative effect of Astragalus membranaceus in treating primary nephrotic syndrome in the elderly. The clinical efficacy of glucocorticoid alone (group I) and hormone plus astragalus (group Ⅱ) in the treatment of nephrotic syndrome in the elderly (≥60 years old) was compared. Results The complete remission rate and total effective rate in group Ⅱ were 42% and 67%, which were significantly higher than those in group 1 (17% and 42% respectively) (P <0.05). The recurrence rate of group Ⅱ was only 8%, which was significantly lower than that of group Ⅰ (33%, P <0.05). Tip on the basis of conventional glucocorticoid treatment with Astragalus treatment of primary nephrotic syndrome in the elderly can significantly improve the efficacy and reduce recurrence.