Study on traditional Chinese medicine colon dialysis combined with hemodialysis for patients with uremia
-
摘要: 目的 观察尿毒症患者应用中药结肠透析联合血液透析治疗后的效果。 方法 采用随机数字表法将本院89例尿毒症患者分为2组。2组患者均给予基础对症治疗,对照组44例患者增加血液透析进行治疗,观察组45例患者在对照组基础上接受中药结肠透析治疗。比较2组患者治疗后肾功能、炎症因子水平、毒素水平变化。 结果 观察组治疗后尿素氮(BUN)、血清肌酐(Scr)、血清尿酸(UA)、C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、甲状旁腺素(PTH)、β2-微球蛋白(β2-MG)及硫酸吲哚酚(IS)水平均显著低于对照组(P<0.05)。 结论 中药结肠透析联合血液透析能够有效改善尿毒症患者的炎症状态,降低尿毒症毒素水平,改善肾功能。Abstract: Objective To observe the effect of traditional Chinese medicine colon dialysis combined with hemodialysis for patients with uremia. Methods Eighty-nine patients with uremia in our hospital were divided into two groups by random number table method, and were given basic symptomatic treatment. The control group(n=44)was treated by hemodialysis, while the observation group(n=45)was treated by colonic dialysis based on the control group. Changes in renal function, inflammatory factor levels, and toxin levels were observed after treatment. Results The levels of blood urea nitrogen(BUN), serum creatinine(Scr), serum uric acid(UA), C-reactive protein(CRP), interleukin-6(IL-6), tumor necrosis factor-α(TNF-α), parathyroid hormone(PTH), β2-microglobulin(β2-MG)and indoxol sulfate(IS)in the observation group were lower than those in the control group after treatment(P<0.05). Conclusion Traditional Chinese medicine colon dialysis combined with hemodialysis can effectively improve the inflammatory status of uremic patients, reduce the level of uremic toxins, and improve renal function.
-
Keywords:
- Chinese medicine colon dialysis /
- hemodialysis /
- uremia /
- inflammatory factors
-
-
王梅. 中药结肠透析高位序贯疗法对不同时期的慢性肾衰的疗效分析[J]. 世界中西医结合杂志, 2016, 11(2): 235-237 , 244.
黄映红, 袁新科, 唐春莲, 等. 结肠透析联合双歧杆菌对CKD患者IS、PCS、PTH的影响[J]. 中国中西医结合肾病杂志, 2017, 18(2): 136-138. 陈灏珠, 林果为. 实用内科学[M]. 第13版. 北京: 人民卫生出版社, 2009: 2188-2194 张海燕, 穆亚南. 血液透析联合结肠透析治疗尿毒症的疗效分析[J]. 湖南中医药大学学报, 2019, 39(1): 108-111. 袁新科, 黄映红, 唐春莲, 等. 血液透析联合结肠透析对尿毒症患者Hcy、IS、PCS的影响[J]. 中国中西医结合肾病杂志, 2017, 18(9): 806-808. 胡屏, 贺海东, 徐旭东. 固本泻浊方结肠透析对中晚期慢性肾衰竭患者“肾-骨”功能的影响[J]. 中国中西医结合肾病杂志, 2018, 19(7): 616-618. 徐梦露, 徐旭东, 李双, 等. 血液透析联合结肠透析治疗尿毒症患者高磷血症的临床研究[J]. 中国中西医结合肾病杂志, 2016, 17(4): 321-324. 张光, 刘文媛, 王蕊花, 等. 益肾汤经结肠透析治疗改善慢性肾衰竭患者营养状况和生活质量的研究[J]. 中国中西医结合肾病杂志, 2018, 19(12): 1088-1090. 刘占国, 张立辰. 百令胶囊联合中药结肠透析治疗尿毒症血液透析患者临床观察[J]. 中国药师, 2018, 21(4): 651-653. 范彦君, 丁武杰, 李慧, 等. 血液透析联合结肠透析对尿毒症患者钙、磷、PTH的影响[J]. 中国中西医结合肾病杂志, 2019, 20(7): 602-604.
计量
- 文章访问数: 459
- HTML全文浏览量: 127
- PDF下载量: 21