肾清汤灌肠联合结肠透析治疗慢性肾功能衰竭临床研究
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R692.5

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河南省中医药科学研究专项课题(2016ZY3039)


Clinical Study on Enema with Shenqing Tang Combined with Colon Dialysis for Chronic Renal Failure
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    摘要:

    目的:观察肾清汤灌肠联合结肠透析治疗慢性肾功能衰竭的临床疗效。方法:将慢性肾功能衰竭患者100 例,随机分为治疗组和对照组各50 例。对照组给予基础治疗(饮食教育、治疗原发病、控制血压、纠正电解质紊乱及代谢性酸中毒、纠正贫血、调节钙磷代谢、防止感染等);治疗组在对照组的基础上加用肾清汤灌肠联合结肠透析,2 组均观察治疗10 d,统计2 组临床疗效及不良反应情况,检测2 组治疗前后肌酐(SCr)、尿素氮(BUN)、内生肌酐清除率(CCr)、血红蛋白(Hb)、血浆白蛋白(Alb) 水平变化。结果:治疗组总有效率为86.0%,对照组为64.0%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组SCr、BUN 水平均较治疗前降低(P<0.05),CCr 值较治疗前升高(P<0.05);且治疗组各项指标改善较对照组更显著(P<0.05)。治疗后2 组患者Alb 改善不大,治疗前后及组间比较,差异均无统计学意义(P>0.05)。治疗后,2 组患者Hb 均较治疗前升高(P<0.05),且治疗组Hb 升高较对照组更显著(P<0.05)。治疗组不良反应发生率为26.0%,对照组为18.0%,2 组比较,差异无统计学意义(P>0.05)。结论:肾清汤灌肠联合结肠透析治疗慢性肾功能衰竭疗效显著。

    Abstract:

    Abstract:Objective:To observe the clinical effect of enema with Shenqing tang combined with colon dialysis for chronic renal failure. Methods: A total of 100 cases of patients with chronic renal failure were randomly divided into the treatment group and the control group, 50 cases in each group. The control group was given basic treatment, such as dietary education, treatment of primary diseases, control on blood pressure, correction of electrolyte disorders and metabolic acidosis, solutions to anemia, regulation of calcium- phosphorus metabolism, and prevention of infection. The treatment group was additionally treated with enema with Shenqing tang combined with colon dialysis based on the treatment of the control group. Both groups were observed and treated for 10 days. The clinical effect and incidence of adverse reactions in the two groups were counted. The changes in clearance rate of serum creatinine(SCr),blood urea nitrogen(BUN) and endogenous creatinine(CCr),as well as the levels of hemoglobin(Hb) and albumin(Alb) before and after treatment were detected in the two groups. Results:The total effective rate was 92.1% in the treatment group,and 70.0% in the control group,the difference being significant(P<0.05).After treatment, the levels of SCr and BUN in the two groups were decreased when compared with those before treatment(P<0.05), and CCr values were increased(P<0.05); the improvement of each index in the treatment group was more significant than that in the control group(P<0.05). The levels of Alb in the two groups did not improve much after treatment, and the comparisons before and after treatment and between the two groups showed no significance in differences(P>0.05). After treatment,the levels of Hb in the two groups were increased when compared with those before treatment(P<0.05),and the increase in the treatment group was more significant than that in the control group (P<0.05). The incidence of adverse reactions was 26.0% in the treatment group, and 18.0% in the control group, there being no significance in the difference(P>0.05). Conclusion:The therapy of enema with Shenqing tang combined with colon dialysis has significant curative effect on chronic renal failure

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马添宏,赵君雅.肾清汤灌肠联合结肠透析治疗慢性肾功能衰竭临床研究[J].新中医,2021,53(5):109-112

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  • 在线发布日期: 2021-03-15
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