高位结肠透析联合中药保留灌肠对慢性肾衰患者肾功能的影响
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安徽省“十二五”省中医重点专病学科建设项目(编号:皖卫中医药[(2011)8号]);安徽省铜陵市2013年科技计划项目(编号:2013NS05)


Effect of High Colon Dialysis Combined with Chinese Medicine Retentive Enema Treatment on Renal Function of Patients with Chronic Renal Failure
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    摘要:

    目的:观察高位结肠透析联合中药保留灌肠治疗慢性肾衰(Chronic Renal Failure,CRF)的疗效。方法:使用常规治疗32例患者(A组),与常规治疗+中药保留灌肠31例患者(B组),以及常规治疗+高位结肠透析联合中药保留灌肠治疗34例患者(C组)进行随机对照,观察每组治疗前后尿素氮(Urea Nitrogen,Bun)、血清肌酐(Serum Creatinine,Scr)、血清尿酸(Uric Acid,UA)、内生肌酐清除率(Creatinine Clearance Rate,Ccr)、胱抑素C(Cystatin C,CysC)、甲状旁腺激素(Parathyroid Hormone,PTH)变化情况,比较3组疗效。结果:C组治疗后在降低Bun、Scr、UA、CysC、PTH,升高Ccr方面与治疗前有着统计学意义(P<001),B组治疗前后同样具有统计学意义(P<005),同时C组较B组占优(P<005);而A组治疗前后改善不理想(P>005)。结论:提示高位结肠透析联合中药保留灌肠能明显改善肾功能,降低PTH,延缓CRF的进展,且优于传统中药灌肠以及常规治疗。

    Abstract:

    To observe the effect of high colon dialysis combined with Chinese medicine retentive enema treatment for chronic renal failure (CRF). Methods: Thirty-two patients received conventional treatment (Group A) and 31 patients were given conventional treatment combined with Chinese medicine retentive enema (Group B) and 34 cases were treated by conventional treatment plus high colon dialysis combined with traditional Chinese medicine retentive enema (Group C). The change of urea nitrogen (Bun), serum creatinine (Scr), serum uric acid (UA), endogenous creatinine clearance urinary inhibition (Ccr), Cystatin C (CysC) and parathyroid hormone (PTH) were observed before and after in each group. Results: Group C showed significant difference after treatment in reducing Bun, Scr, UA, CysC, PTH and rising Ccr (P<001). Group B also showed the difference before and after the treatment (P<005), while the effect of Group C was better than that of the Group B (P<005). The improvement in Group A was not good after treatment (P>005). Conclusion: High colon dialysis combined with Chinese medicine retain enema may significantly improve renal function, reduce the PTH, delay the progress of CRF, and is superior to the combination of traditional Chinese medicine enema and conventional treatment.

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宋辉,梁晓平.高位结肠透析联合中药保留灌肠对慢性肾衰患者肾功能的影响[J].世界中医药,2016,(11).

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  • 收稿日期:2016-01-12
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  • 在线发布日期: 2016-12-30
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