中药结肠透析治疗慢性肾衰的临床疗效观察.docxVIP

中药结肠透析治疗慢性肾衰的临床疗效观察 黑龙江省中医药科学院 黑龙江哈尔滨150001 【摘要】目的：分析中药结肠透析对不同时期慢性肾脏病患者的治疗效 果。方法：选取90例慢性肾衰患者，根据CRF分期标准分为氮质血症期(A组 30例)、肾衰竭期(B组30例)和尿毒症期(C组30例)。3组患者在基础治疗的 前提下，均予中药结肠透析治疗4周，观察实验室指标变化，比较不同治疗时期 对中药结肠透析疗效的影响。结果：3组患者治疗前后血肌酹、血尿酸、内牛肌酹 清除率差值比较，差异统计学意义(PV0. 05), 3组患者治疗后临床疗效A组和 B组、B组和C组比较，差异无统计学意义(P0. 05),但A组和C组疗效比较， 差异有统计学意义(P0. 05)o 3组患者治疗后BUN、血磷均下降，且A组和C 组、B组和C组比较，差异有统计学意义(P0. 05)o结论：CRF早期和中期利 用结肠透析高位序贯疗法治疗疗效及临床症状改善更为显著。 【关键词】中药结肠透析；慢性肾衰；临床观察 Abstract: Objective: To analyze the different periods of Chinese colon dialysis for chronic kidney disease treatment. Methods: 90 cases of chronic renal failure patients, according to CRF staging into toxemia (A group of 30 patients), renal failure stage (Group B 30 cases) and uremia (30 cases of group C). 3 groups of patients under the premise based therapy, traditional Chinese medicine herein are colon dialysis four weeks, to observe changes in laboratory parameters, compare the impact of different treatment period colon dialysis efficacy of traditional Chinese medicine. Results: The three groups of patients before and after treatment serum Creator, uric acid, Creator clearance rate differenee, the differenee was statistically sign讦icant (P lt;0.05), 3 patients after treatment clinical efficacy of group A and group B, and group B group C, the difference was not statistically significant (Pgt; 0.05), but compare the efficacy of group A and group C, the differenee was statistically significant (P lt;0.05). 3 groups of patients after treatmentz BUN, phosphorus decreased, and the group A and group C, group B and group C, the d iff ere nee was statistically sign ifica nt (P lt;0.05). Conclusion: CRF early and mid colon dialysis high utilization of sequential therapy efficacy and clinical improvement is more significant. Keywords: Chinese colon dialysis; chronic renal failure; clinical observation 【中图分类号1R277.5【文献标识码】A【文章编号)2096-0867(2016) 13-070-02 慢性肾脏病的发病率呈逐年递增趋势，并已成为全球公共问题，为家庭 带来了沉重负担。结肠透析配合中药保留灌肠治疗又简称中药结肠透析治疗，在 治疗中晚期慢性肾衰竭方面疗效确定。本次研究针