中药结肠透析治疗43例临床观察
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【摘要】 目的：将83例CRF患者随机分为中药结肠透析治疗组和手工灌肠组，观察中药结肠透析治疗对临床症状及体征、尿素氮(Bun)及血肌酐(Scr)的影响。结果：治疗组总有效率明显高于对照组，治疗组临床疗效优于对照组。两组尿素氮(Bun)、血肌酐(Scr)分别得到明显的改善，治疗组改善明显优于对照组。结论：中药结肠透析治疗在改善肾功能方面疗效优于中药保留灌肠。
【关键词】慢性肾功能衰竭; 中药结肠透析; 中药保留灌肠
Clinical Observation on Chinese Medicinal Herbal Colon Dialysis to Treat 83 Cases of Chronic Renal Failure
GENG JING
Department of Chinese Medicine, RenMin Hospital of Huaibei city, AnHui Province235000China
【Abstract】ObstractObjective: 83 cases of Chronic Renal Failure were randomly divided into two groups, one group is treated with Chinese medicinal herbal colon dialysis (treatment group), the other with Chinese medicinal herbal retention-enema (control group). To investigate the effect of clinical symptom and blood urea nitrogen (BUN), serum creatine (SCr) of the two groups above mentioned. Results: The totle effective rate of treatment group was much higher than that of the control group. The clinical effect of treatment group was better than that of the control group on symptom. Variables such as BUN, SCr also showed respectively significant improvement on the both groups. The effect of treatment group was much better than that of the control group on symptom. Conclusion: The effect of Chinese medicinal herbal colon dialysis is more obvious than that of retention-enema with Chinese medicinal herbal decoction on the improvement of the renal function.
【Key words】Chronic Renal Failure; Chinese Medicinal Herbal Colon Dialysis; Retention-enema with Chinese Medicinal Herbal Decoction
慢性肾衰竭是临床中的常见病、多发病。CRF的慢性病程一旦开始，不能逆转也不能停止，治疗的思路主要在于如何延缓肾衰进展的速度。探讨更多更新的CRF治疗方法成为医学界共识。肾功能逐渐减退使体内的代谢废物不能充分排除而引起临床一系列综合征，毒素不只存在于血液中，而且还存在于胃肠液中。为探索新的治疗途径和方法，我科2004年在传统药物治疗的基础上，采用IMS--100型结肠途径治疗机(北京晟威医疗电子设备有限公司生产)，为患者进行中药结肠透析治疗，报告如下。
1临床资料
选取我院2004年以来CRF住院患者83例，所有病例都符合《肾脏病学》关于CRF诊断标准[1]。随机分为2组，治疗组43例，男25例，女18例；年龄 最小24岁，最大65岁，平均46.5岁；慢性肾炎33例，痛风性肾病1例，多囊肾1例，SLE肾病2例，糖尿病肾病4例，高血压肾动脉硬化2例。对照组40例，男24例，女16例；年龄最小22岁，最大66岁，平均45.2岁；慢性肾炎31例，痛风性肾病2例，多囊肾1例，SLE肾病1例，糖尿病肾病4例，高血压肾动脉硬化1例。入院时均有不同程度的贫血、浮肿、恶心、少尿、夜尿多、高血压、皮肤瘙痒等症状、体征。
2方法
2.1一般治疗：
全部病例均常规给予低盐低脂优质低蛋白饮食(糖尿病患者予糖尿病饮食)，控制血压(糖尿病患者控制血糖)，纠正贫血，纠正酸中毒等对症处理，配合辨证论治中药口服。
2.2.1治疗组给予结肠透析机进行结肠透析治疗： ......
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