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中西医结合治疗慢性肾脏病的临床效果 被引量:3

Analysis of the application effect of integrated Traditional Chinese and Western medicine in patients with chronic kidney disease
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摘要 目的:探讨西医基础上联用肾衰方、穴位敷贴治疗慢性肾脏病(CKD)的临床疗效。方法:选取2019年9月—2020年9月我院收治的60例慢性肾脏病患者随机分为对照组(30例,西医基础治疗+肾衰方)和观察组(30例,西医基础治疗+肾衰方+穴位敷贴),对比两组疗效。结果:治疗前两组中医症候积分、肾功能、生活质量比较差异无统计学意义(P>0.05),经治疗观察组中医症候积分、肾功能、生活质量均得到显著改善(P<0.05),治疗后观察组中医症候积分(12.53±3.61)、肾功能(BUN:6.99±1.19,Scr:108.61±7.84,eGFR:61.15±3.55)、生活质量(89.76±3.05)均显著优于对照组(t=4.904,2.518,7.043,8.865,P<0.05);观察组治疗总有效率(93.33%,28/30)显著高于对照组(73.33%,22/30)(χ^(2)=4.320,P<0.05);两组治疗期间均无严重不良反应发生。结论:在西医基础上联用肾衰方、穴位敷贴治疗慢性肾脏病安全有效,值得临床推广。 Objective:To explore the clinical effect of kidney failure prescription combined with acupoint application in the treatment of chronic kidney disease(CKD)based on western medicine. Methods:60 patients with CKD admitted to our hospital from September 2019 to September 2020 were randomly divided into the control group(30 cases,basic western medicine treatment + kidney failure prescription)and the observation group(30 cases,basic Western medicine treatment + kidney failure prescription + acupoint application),and the efficacy of the two groups was compared. Results:Before treatment,there was no significant difference in TCM syndrome score,renal function and quality of life between the two groups(P>0.05),after treatment,the TCM syndrome score,renal function and quality of life in the observation group were significantly improved(P<0.05),after treatment,the observation group TCM syndrome score(12.53±3.61),renal function(BUN:6.99±1.19,Scr:108.61±7.84,eGFR:61.15±3.55),The quality of life(89.76±3.05)were significantly better than the control group(t=4.904,2.518,7.043,8.865,P<0.05). The total effective rate of 93.33%(28/30) in the observation group was significantly higher than 73.33%(22/30)in the control group(χ^(2)=4.320,P<0.05). No serious adverse reactions occurred during the treatment in both groups.Conclusion:Kidney failure prescription combined with acupoint application is safe and effective in the treatment of CKD on the basis of western medicine,which is worthy of clinical reference and promotion.
作者 王恒 WANG Heng(Department of Nephrology,Tianshui Traditional Chinese Medicine Hospital,Tianshui 741000,Gansu Province,China)
机构地区 天水市中医医院
出处 《内蒙古中医药》 2021年第10期57-59,共3页 Inner Mongolia Journal of Traditional Chinese Medicine
关键词 慢性肾脏病 西医 肾衰方 穴位敷贴 肾功能 生活质量 Chronic kidney disease Western medicine Renal failure Acupoint application Renal function The quality of life
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