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益肾活血降浊中药结肠透析与护理对慢性肾衰竭患者肾功能的影响 被引量:16

Yishen Huoxue Jiangzhuo of Chinese medicine colon dialysis nursing effect on renal function in patients with chronic renal failure
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摘要 目的探讨益肾活血降浊中药结肠透析对慢性肾衰竭患者肾功能的影响。方法选取110例慢性肾衰竭患者,采用随机数字表法随机分为2组,各55例,对照组采取常规治疗及护理,治疗组在常规治疗基础上加用益肾活血降浊中药结肠透析,并配合中医护理。2组均治疗8周,观察2组中医症状积分,血肌酐(Scr)、血尿素氮(BUN)、内生肌酐清除率(Ccr)等指标改善情况,计算2组临床疗效。结果实验组总有效率90.90%,明显高于对照组的72.72%(P<0.05);2组治疗前后中医症状积分均有所改善,且治疗组优于对照组(P<0.05);2组Scr、BUN、Ccr等指标变化,均有所降低,且治疗组改善更明显(P<0.05)。结论益肾活血降浊中药透析,具有清热活血,益肾降浊的作用,改善临床症状及肾功能指标,提高患者生活质量。 Objective To explore Yishen Huoxue Jiangzhuo of Chinese medicine colon dialysis renal function in patients with chronic renal failure and the effect of the clinical curative effect was observed. Methods Select 110 cases of patients with chronic renal failure,the use of random number tables were randomly divided into two groups,control group 55 cases,adopt conventional treatment and care;Treatment group(55 cases,on the basis of conventional treatment to Yishen Huoxue Jiangzhuo of Chinese medicine colon dialysis,and cooperate with the Chinese medicine nursing. Both groups in 8 weeks for a period of treatment,after 2 courses of treatment,observe two groups of patients with Chinese medicine symptom integral,serum creatinine( Scr),blood urea nitrogen( BUN),endogenous creatinine clearance( Ccr),and other indicators to improve the situation,calculation of two groups of clinical curative effect. Results The total effective rate of the treatment group was 90. 90% and the control group was 72,72%,the treatment group is signifcantly higher than the control group( P 〈0. 05);The detection of TCM symptom score before and after treatment in both groups were improved,and the treatment group is better than that of control group( P 〈0. 05);Detection of two groups of patients after treatment serum creatinine( Scr),blood urea nitrogen( BUN),endogenous creatinine clearance rate( Ccr),and other indicators of change,are reduced,and the treatment group improved more obvi-ously,the results are similar between the two groups( P 〈0. 05). Conclusion Chinese medicine colon dialysis method according to the traditional theory of TCM belongs to the branch in eight methods,material,promote blood and bowel secretion of surrounding tissue metabolites,side by side in vitro,can reduce kidney burden,improving renal function. Yishen Huoxue Jiangzhuo of material dialysate,can rise to benefit spleen and kidney,clear the role of material,can fully improve the clinical curative effect. After effective TCM nursing can reduce the pain of patients,improve the quality of life.
作者 尚巍 王鹏飞
出处 《长春中医药大学学报》 2016年第6期1200-1202,共3页 Journal of Changchun University of Chinese Medicine
基金 国家自然科学基金(81503474) 辽宁省中医药临床学(专)科能力建设项目(2013-Lnzyxzk-04) 辽宁省教育厅科学研究一般项目(L2012346) 沈阳市科技计划项目(F15-139-9-41)
关键词 益肾活血降浊 中药 结肠透析 慢性肾衰竭 Yishen Huoxue Jiangzhuo traditional Chinese medicine colon dialysis chronic renal failure
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