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参康汤对慢性肾衰竭血液透析患者血肌酐和血尿素氮的影响:一项随机对照试验。

Effects of Shenkang Decoction on Creatinine and Blood Urea Nitrogen in Chronic Renal Failure Hemodialysis Patients: A Randomized Controlled Trial.

机构信息

Department of Traditional Chinese Medicine, The First People's Hospital of Zunyi (The Third Affiliated Hospital of Zunyi Medical University), Zunyi City, China.

出版信息

J Integr Complement Med. 2023 Apr;29(4):253-260. doi: 10.1089/jicm.2022.0587. Epub 2023 Mar 21.

Abstract

To explore the clinical effect of Shenkang Decoction in chronic renal failure (CRF) patients with hemodialysis (HD). From November 2020 to December 2021, a total of 160 patients with CRF, who received HD, were included as the research objects, and they were divided into a reference group and a treatment group by random number table method (80 cases in each group). The former group was given basic drug treatment, and the latter group was given Shenkang decoction treatment at the same time as basic drug treatment. The renal function indexes, Traditional Chinese Medicine (TCM) syndrome scores, nutritional status, dialysis adequacy, treatment efficiency, and adverse reactions, were compared between the two groups. After treatment, the patients in the treatment group had lower levels of creatinine and blood urea nitrogen, lower TCM syndrome scores, and higher levels of various nutritional status indicators than the reference group ( < 0.05). After treatment, the effective rate of the treatment group was higher compared with the reference group ( < 0.05). There was no significant difference between the two groups of dialysis adequacy index ( > 0.05). No adverse reaction was found in the two groups of patients in routine urine, blood, stool, liver, and kidney function tests, and electrocardiogram monitoring. Shenkang decoction applied to CRF and HD patients can significantly improve clinical symptoms and renal function, maintain a good nutritional status and little impact on dialysis adequacy, and improve life quality with significant curative effect, high safety, and little adverse reactions.

摘要

探讨肾康汤对血液透析(HD)慢性肾衰竭(CRF)患者的临床疗效。 2020 年 11 月至 2021 年 12 月,共纳入 160 例接受 HD 的 CRF 患者作为研究对象,采用随机数字表法分为参照组和治疗组(各 80 例)。前者给予基础药物治疗,后者同时给予基础药物加肾康汤治疗。比较两组患者肾功能指标、中医(TCM)证候评分、营养状况、透析充分性、治疗效果及不良反应。 治疗后,治疗组患者的肌酐和血尿素氮水平较低,中医证候评分较低,各项营养状况指标水平较高,均优于参照组( < 0.05)。治疗后,治疗组的有效率高于参照组( < 0.05)。两组透析充分性指标无明显差异( > 0.05)。两组患者常规尿、血、便常规、肝肾功能及心电图监测未见明显不良反应。 肾康汤应用于 CRF 和 HD 患者可明显改善临床症状和肾功能,维持良好的营养状况,对透析充分性影响较小,提高生活质量,疗效显著,安全性高,不良反应少。

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