穴位注射联合中药脐贴改善气阴两虚型维持性血液透析患者营养不良临床观察.docVIP

穴位注射联合中药脐贴改善气阴两虚型维持性血液透析患者营养不良临床观察 　　[摘要] 目的 探讨穴位注射黄芪注射液联合脐贴左归丸对气阴两虚型维持性血液透析（MHD）患者营养不良的影响。方法 2014年2月～2015年5月，选择京东誉美中西医结合肾病医院血液净化室MHD患者中医辨证属气阴两虚型患者38例，将患者随机分为两组，治疗组和对照组各19例。治疗组在基础治疗的前提下，给予黄芪注射液0.5 mL，透析日（每周2～3次）行足三里穴位注射，同时配合脐贴左归丸（每天8 h），间断治疗3个月。观察、记录两组患者人体测量指标、改良SGA评分、生化指标、主要临床症状的改善等，分析、评价足三里穴位注射联合脐贴改善MHD患者营养不良的临床疗效。 结果 治疗后，治疗组BMI（19.97±0.31）kg/m2，与治疗前比较差异有统计学意义（P0.05）；治疗组Hb（116.54±15.46）g/L，Alb（41.15±3.87）g/L，BUN（31.45±1.96）mmol/L，与对照组比较差异有统计学意义（P0.05）。治疗组改良SGA评分有效率明显高于对照组（P0.05）。中医主要症状疗效率对比，治疗组效果明显。 结论 足三里注射黄芪注射液联合脐贴左归丸对气阴两虚型维持性血液透析（MHD）患者的营养不良状态有明显的改善效果，值得临床推广。 　　[关键词] 足三里穴位注射；脐贴；维持性血液透析；营养不良；临床观察 　　[中图分类号] R277.5 [文献标识码] B [文章编号] 1673-9701（2016）06-0107-04 　　Effect of acupoint injection combined with umbilical paste traditional Chinese medicine on malnutrition for MHD with deficiency of Qi and Yin 　　LIU Lihong1 LIU Huijun2 YAO Caixia1 YANG Xiaomei3 　　1.Hemodialysis Center， Jingdong Yumei Traditional Chinese Medicine and Western Medicine Integrated Kidney Hospital， Langfang 065201， China； 2.Nursing Department， Jingdong Yumei Traditional Chinese Medicine and Western Medicine Integrated Kidney Hospital， Langfang 065201， China； 3.The Fourth Affiliated Hospital of Harbin Medical University in Heilongjiang Province， Harbin 150001， China 　　[Abstract] Objective To discuss the effect of Astragalus injection for Zusanli injectio ad acumen combined with umbilical Zuogui pill on malnutrition for MHD with deficiency of Qi and Yin. Methods From February 2014 to May 2015， 38 cases with MHD and with TCM syndrome differentiation of deficiency of Qi and Yin in Jingdong Yumei Kidney Disease Hospital were divided randomly into treatment group and control group， each group of 19 cases. Treatment group was treated with basic treatment and 0.5 mL Astragalus Zusanli injectio ad acumen on dialysis days（2-3 times per week）， and simultaneous selection of Zuogui pill（8 hours per day）， discontinuous treatment for 3 months. Human body measurement index， modified SGA score， biochemical