目的:探究温肾汤治疗慢性肾功能不全脾肾阳虚证的效果及其对肾脏纤维化的影响。方法:选择符合纳入标准的慢性肾功能不全脾肾阳虚证患者96例,依据随机数字表随机分为对照组和观察组。对照组采用常规西药治疗,观察组在对照组基础上口服温...目的:探究温肾汤治疗慢性肾功能不全脾肾阳虚证的效果及其对肾脏纤维化的影响。方法:选择符合纳入标准的慢性肾功能不全脾肾阳虚证患者96例,依据随机数字表随机分为对照组和观察组。对照组采用常规西药治疗,观察组在对照组基础上口服温肾汤治疗,2周为1个疗程,两组均治疗2个疗程。比较治疗前后两组患者中医症状评分(畏寒肢冷、面浮肢肿、神疲乏力、食少纳呆、腰膝畏寒和脘腹胀痛)、肾功能相关损伤指标(24 h Pro、BUN、Ccr和GFR)及肾纤维化相关指标(CTGF、CIV、PCⅢ和BMP-7)变化情况及临床疗效。结果:对照组临床总有效率为77.1%(37/48),观察组临床总有效率为91.7%(44/48),差异有统计学意义(P<0.05);治疗后两组患者畏寒肢冷、面浮肢肿、神疲乏力、食少纳呆、腰膝畏寒和脘腹胀痛的中医症状评分均较治疗前显著降低(P<0.05),且观察组改善程度优于对照组(P<0.05);治疗后两组患者24 h Pro、BUN水平均较治疗前显著降低(P<0.05),Ccr、GFR水平显著升高(P<0.05),且观察组改善程度优于对照组(P<0.05);治疗后两组患者CTGF、CIV及PCⅢ水平较治疗前明显降低(P<0.05),BMP-7水平明显升高(P<0.05),且观察组改善程度优于对照组(P<0.05)。结论:温肾汤可以有效改善慢性肾功能不全脾肾阳虚证患者的肾功能,降低蛋白尿,显著抑制肾脏纤维化。展开更多
本文总结了采用中医外治技术中的火龙罐疗法改善脾肾阳虚型甲减患者的护理体会,包括火龙罐疗法的操作流程及注意事项、心理护理以及常规护理等。火龙罐疗法集推拿、刮痧、艾灸为一体,具有“温、通、调、补”四大功效,同时,提高了机体的...本文总结了采用中医外治技术中的火龙罐疗法改善脾肾阳虚型甲减患者的护理体会,包括火龙罐疗法的操作流程及注意事项、心理护理以及常规护理等。火龙罐疗法集推拿、刮痧、艾灸为一体,具有“温、通、调、补”四大功效,同时,提高了机体的免疫能力,起到防病治病的作用。通过观察火龙罐疗法在脾肾阳虚型甲减患者中的应用效果,有利于为脾肾阳虚型甲减患者提供一种非药物疗法,改善脾肾阳虚证的症状,提高临床疗效,为丰富中医护理干预方案提供参考,最终服务于患者。This article summarizes the nursing experience of using the Huolong cupping therapy in traditional Chinese medicine external treatment techniques to improve patients with spleen kidney yang deficiency type hypothyroidism, including the operation process and precautions of the Huolong cupping therapy, psychological care, and routine care. Huolong cupping therapy integrates massage, guasha, and moxibustion, with four major effects of “warming, unblocking, regulating, and tonifying”. At the same time, it improves the body’s immune system and plays a role in preventing and treating diseases. By observing the application effect of Huolong cupping therapy in patients with spleen kidney yang deficiency type hypothyroidism, it is beneficial to provide a non-pharmacological therapy for patients with spleen kidney yang deficiency type hypothyroidism, improve the symptoms of spleen kidney yang deficiency syndrome, enhance clinical efficacy, provide a reference for enriching traditional Chinese medicine nursing intervention plans, and ultimately serve patients.展开更多
文摘目的:探究温肾汤治疗慢性肾功能不全脾肾阳虚证的效果及其对肾脏纤维化的影响。方法:选择符合纳入标准的慢性肾功能不全脾肾阳虚证患者96例,依据随机数字表随机分为对照组和观察组。对照组采用常规西药治疗,观察组在对照组基础上口服温肾汤治疗,2周为1个疗程,两组均治疗2个疗程。比较治疗前后两组患者中医症状评分(畏寒肢冷、面浮肢肿、神疲乏力、食少纳呆、腰膝畏寒和脘腹胀痛)、肾功能相关损伤指标(24 h Pro、BUN、Ccr和GFR)及肾纤维化相关指标(CTGF、CIV、PCⅢ和BMP-7)变化情况及临床疗效。结果:对照组临床总有效率为77.1%(37/48),观察组临床总有效率为91.7%(44/48),差异有统计学意义(P<0.05);治疗后两组患者畏寒肢冷、面浮肢肿、神疲乏力、食少纳呆、腰膝畏寒和脘腹胀痛的中医症状评分均较治疗前显著降低(P<0.05),且观察组改善程度优于对照组(P<0.05);治疗后两组患者24 h Pro、BUN水平均较治疗前显著降低(P<0.05),Ccr、GFR水平显著升高(P<0.05),且观察组改善程度优于对照组(P<0.05);治疗后两组患者CTGF、CIV及PCⅢ水平较治疗前明显降低(P<0.05),BMP-7水平明显升高(P<0.05),且观察组改善程度优于对照组(P<0.05)。结论:温肾汤可以有效改善慢性肾功能不全脾肾阳虚证患者的肾功能,降低蛋白尿,显著抑制肾脏纤维化。
文摘本文总结了采用中医外治技术中的火龙罐疗法改善脾肾阳虚型甲减患者的护理体会,包括火龙罐疗法的操作流程及注意事项、心理护理以及常规护理等。火龙罐疗法集推拿、刮痧、艾灸为一体,具有“温、通、调、补”四大功效,同时,提高了机体的免疫能力,起到防病治病的作用。通过观察火龙罐疗法在脾肾阳虚型甲减患者中的应用效果,有利于为脾肾阳虚型甲减患者提供一种非药物疗法,改善脾肾阳虚证的症状,提高临床疗效,为丰富中医护理干预方案提供参考,最终服务于患者。This article summarizes the nursing experience of using the Huolong cupping therapy in traditional Chinese medicine external treatment techniques to improve patients with spleen kidney yang deficiency type hypothyroidism, including the operation process and precautions of the Huolong cupping therapy, psychological care, and routine care. Huolong cupping therapy integrates massage, guasha, and moxibustion, with four major effects of “warming, unblocking, regulating, and tonifying”. At the same time, it improves the body’s immune system and plays a role in preventing and treating diseases. By observing the application effect of Huolong cupping therapy in patients with spleen kidney yang deficiency type hypothyroidism, it is beneficial to provide a non-pharmacological therapy for patients with spleen kidney yang deficiency type hypothyroidism, improve the symptoms of spleen kidney yang deficiency syndrome, enhance clinical efficacy, provide a reference for enriching traditional Chinese medicine nursing intervention plans, and ultimately serve patients.
