健脾补肾法对血液透析患者蛋白质营养不良及瘦素的影响-中医内科学专业论文.docxVIP

关键词z 健脾补肾法:血液透析:调脂素:营 养不良 The The influence of invigorating the spleen and tonifying the kidney TCM therapy to protein-malnutrition and leptin in hemodialysis patient Speciality：Internal medicine ofChinese Medicine Author：ChunMei Zhang Tutor：YueZhong Luo ABSTRACT Background：Protein-malnutrition is all important complication inn End Stage Renal Disease(ESRD)．Studies have shown,probably 23％-76％of the hemodialysis patients have Malnutrition in varying degrees．Malnutrition,which have direct relationship with hi曲death rate in hemodialysis patient，cause lower immune function,bad tolerance to dialys，infection,auaemia,heart-brain vessel disease and diabetes．etc．The patients in developing countries cant afford the high expense about Albumin．How to prevent and cure protein-malnutrition in hemodialysis patient become an important topic in renal dialys． The discovery of Leptin and its relationship with malnutrition attract more attentions these years．A large amotmt of research verifies，Leptin acts on the leptin receptor of the hypothalamu。under the physiological state，cause the effect of suppressing appetite，increasing energy consumption,then cause the organism to become thin,malnutrition．The higher the Leptin level is，the less ALB，PA and Tfare．Leptin play an important part in causing Malnutrition in hemodialysis patient,and become a new index to appraisal Malnutrition．In present，the researcher in and abroad want to find the ways to change the level ofLeptin in hemodialysis patient． Purpose：This study is done to observe the influence of the TCM method by invigorating the spleen and tonifying the kidney to protein-malnutrition and Leptin in hemodialysis patient,then find more measles and methods to cule protein·malnutrition in hemodialysis pmient with herbs． object：The patients came from the t11ird internal medicine ofthe first hospital affiliated to Guangzhou University of Chinese Medicine． Method：40 cases are divided into 2 groups at random，group NO．1(22 cases)is