摘要
目的:分析血液透析结合健脾益肾方对慢性肾衰竭患者营养指标的影响。方法:将80例慢性肾衰竭患者按简单随机化法分为相同例数的两组,即对照组40例,接受血液透析;观察组40例,在此基础上加用健脾益肾方治疗;比较两组的治疗效果和营养水平。结果:观察组的治疗总有效率(97.50%)优于对照组(80.00%),P<0.05。治疗后观察组的血清白蛋白(ALB)、血红蛋白(Hb)、转铁蛋白(TRF)及前白蛋白(PA)水平均高于对照组,营养不良-炎症评分法(MIS)评分低于对照组,P<0.05。结论:血液透析结合健脾益肾方治疗慢性肾衰竭能提高治疗效果,改善患者的营养指标,减轻营养不良-炎症状态。
Objective:To analyze the effects of hemodialysis combined with Jianpi Yishen recipe on nutritional indexes of patients with chronic renal failure.Methods:80 patients with chronic renal failure were divided into two groups with the same number of cases according to simple randomization method,that is,40 patients in the control group,receiving hemodialysis;Observation group 40 cases,on the basis of this plus Jianpi Yishen prescription treatment;The therapeutic effect and nutritional level of the two groups were compared.Results:The total effective rate of the observation group(97.50%)was better than that of the control group(80.00%),P<0.05.After treatment,the levels of serum albumin(ALB),hemoglobin(Hb),transferrin(TRF)and prealbumin(PA)in observation group were higher than those in control group,and the scores of dystrophy-inflammation score(MIS)were lower than those in control group,P<0.05.Conclusion:Hemodialysis combined with Jianpi Yishen recipe can improve the therapeutic effect of chronic renal failure,improve the nutritional index of patients,and reduce the state of malnutrition and inflammation.
作者
王海蓉
WANG Hairong(Hemodialysis Department,Nanjing Jiangning Hospital of Traditional Chinese Medicine,Nanjing 211100,China)
关键词
健脾益肾方
血液透析
慢性肾衰竭
Jianpi Yishen formula
Hemodialysis
Chronic renal failure