温肾补脾汤联合西药治疗尿毒症周围神经病变脾肾阳虚证临床观察
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R692.5;R745

基金项目:


Clinical Observation on Wenshen Bupi Tang Combined with Western Medicine for Uremic Peripheral Neuropathy with Yang Deficiency of Spleen and Kidney Syndrome
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察温肾补脾汤联合西药治疗尿毒症周围神经病变(UPN)脾肾阳虚证的疗效。方法:选取本院收治的110例UPN脾肾阳虚证患者,按随机数字表法分为治疗组和对照组各55例。2组均予血液透析结合血液灌流常规干预措施,对照组以甲钴胺片、三维B注射液治疗,治疗组在对照组基础上加服温肾补脾汤。2组均连续治疗3月。比较2组治疗前后的脾肾阳虚证症状评分及下肢感觉神经传导速度(SCV),分析2组的治疗效果。结果:治疗后,治疗组总有效率94.55%,高于对照组的80.00%,差异有统计学意义(P<0.05)。2组倦怠乏力、食少纳呆、气短懒言、腰酸膝软、脘腹胀满、口淡不渴评分均较治疗前下降(P<0.01);治疗组上述症状评分均低于对照组(P<0.01)。2组胫神经、腓肠神经、腓总神经SCV均较治疗前增加(P<0.01);治疗组胫神经、腓肠神经、腓总神经的SCV与对照组比较增加更明显(P<0.01)。结论:在血液透析结合血液灌流常规干预措施基础上以温肾补脾汤联合西药治疗UPN脾肾阳虚证,可明显改善患者的临床症状,提高下肢神经传导速度,临床疗效确切。

    Abstract:

    Objective:To observe the curative effect of Wenshen Bupi tang combined with western medicine for uremic peripheral neuropathy(UPN)with yang deficiency of spleen and kidney syndrome.Methods:Selected 110 cases of UPN patients with yang deficiency of spleen and kidney syndrome admitted in our hospital into the treatment group and the control group according to random number table method,55 cases in each group.The two groups were given routine interventions of hemodialysis combined with hemoperfusion.The control group additionally received mecobalamin tablets and trivitamin B injection for treatment,while the treatment group additionally received Wenshen Bupi tang based on the treatment of the control group.The two groups were treated for three months continuously.Compared the symptom scores of yang deficiency of spleen and kidney syndrome and sensory nerve conduction velocity(SCV)of lower limbs before and after treatment in the two groups, and analyzed the curative effect in the two groups.Results:After treatment, the total effective rate was 94.55%in the treatment group,higher than that of 80.00%in the control group,the difference being significant(P<0.05).Scores of burnout and hypodynamia,deprivation and anorexia,shortness of breath and dislike of talking,soreness and weakness of waist and knees, abdominal distention, and tastelessness without thirsty feeling in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the treatment group were lower than those in the control group(P<0.01).The SCV of tibial nerve,sural nerve and peroneal nerve in the two groups was improved when compared with that before treatment respectively(P<0.01),and the improvement in the treatment group was more obvious than that in the control group(P<0.01).Conclusion:Based on the routine interventions of hemodialysis combined with hemoperfusion,the therapy of Wenshen Bupi tang combined with western medicine for UPN with yang deficiency of spleen and kidney syndrome can obviously improve the clinical symptoms and increase the SCV of lower limbs of patients with accurate clinical effect.

    参考文献
    相似文献
    引证文献
引用本文

李可佳.温肾补脾汤联合西药治疗尿毒症周围神经病变脾肾阳虚证临床观察[J].新中医,2018,50(12):113-116

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2018-12-09
  • 出版日期: