“调畅气血”法对慢性肾衰竭血液净化患者生存质量的干预作用.docVIP

“调畅气血”法对慢性肾衰竭血液净化患者生存质量的干预作用 　　[摘要] 目的 探讨“调畅气血”法对慢性?I衰竭血液净化患者生存质量的干预作用。 方法 将40例符合条件的患者随机分成治疗组、对照组，每组20例。对照组：常规血液透析，适当休息，优质低蛋白饮食，必须氨基酸口服，予ACEI或ARB、控制感染、血压、血糖（糖尿病）、调节电解质及酸碱平衡失调以及改善肾性贫血和肾性骨病等；治疗组：在对照组基础上，服用中药：黄芪20 g，川芎10 g，丹参10 g，大黄10 g，每日1剂，常规煎服，情志治疗，使用支持性疗法及认知方法，协调患者启动更多的社会支持系统。两组的疗程均为12周，观察两组临床指标。 结果 治疗组患者尿蛋白（0.86±0.30）g/d、血肌酐（66.4±23.7）μmol/L及尿素氮水平（6.50±1.01）μmol/L，明显优于对照组，且治疗组患者生存质量评分高于对照组，两组比较具有统计学意义（P 　　[关键词] 调畅气血；慢性肾衰竭；血液净化；生存质量 　　[中图分类号] R259 [文献标识码] B [文章编号] 1673-9701（2017）15-0115-03 　　[Abstract] Objective To investigate the intervention effect of tonify Qi and Blood on the quality of life of patients with chronic renal failure and blood purification. Methods Forty patients meeting the criteria were randomly divided into treatment group（n=20） and control group（n=20）. The control group was treated with conventional hemodialysis， proper rest， high quality low protein diet， essential amino acids oral， they were given ACEI or ARB， controlling infection， blood pressure and blood sugar（diabetes）， regulating electrolyte and acid-base balance disorders and improving renal anemia and renal bone disease. The treatment group was given traditional Chinese medicine with astragalus 20 g， ligusticum wallichii 10 g， salvia miltiorrhiza 10 g and rhubarb 10 g， one dose/d， conventional decoction was given， combined with emotional treatment， supportive therapy， cognitive method coordinately to start more social support system on the basis of treatment of the control group. The treatment course of two groups was 12 weeks， and the clinical indicators of two groups were observed. Results The levels of urinary protein was（0.86±0.30） g/d， serum creatinine was（66.4±23.7） μmol/L and urea nitrogen was（6.50±1.01） μmol/L were significantly better in the treatment group than those in the control group. The quality of life score in the treatment group was higher than that in the control group， and the difference between the two groups was statistically significant（P 　　1 资料与方法 　　1.1 一般