中药艾灸改善腹膜透析患者营养不良的临床研究

目的：观察中药艾灸对高腹膜转运CAPD患者腹膜营养不良的影响.方法：高腹膜转运CAPD患者26例随机分为两组,治疗组（中药艾灸）与对照组各13例,观察治疗前后透析超滤量（UF）、C反应蛋白（hs-CRP）、白细胞介素6（IL-6）、血清白蛋白（Alb）、前白蛋白（Pre-A）及中医症状计分和改良定量主观整体评估法（MQSGA）评分的变化.结果：治疗组治疗后24 h总超滤量明显增加,hs-CRP、IL-6明显下降,Alb及Pre-A明显增加,中医症状计分和MQSGA评分增加,优于对照组（P〈0.05）.结论：中药艾灸可以有效提高透析超滤量,减轻高腹膜转运CAPD患者的微炎症状态,改善营养不良.

Effects of Moxibustion on Peritoneal Dialysis Malnutrition in Hyper-Transport CAPD Patients

Objective:To investigate effects of moxibustion on peritoneal dialysis Malnutrition in hyper-transport continuous ambulatory peritoneal dialysis (CAPD) patients.Methods:26 cases of hyper-transport CAPD patients were randomly divided into two groups: 13 cases of treatment group(with moxibustion) and 13 cases of control group(no moxibustion). The ultrafiltration(UF) amount,serum high-sensitivity C-reactive protein (hs-CRP),interleukin-6(IL-6),serum albumin(Alb),serum Pre-albumin(Pre-A),the score of chinese medical symptom and modified quantitative subjective global assessment of nutrition(MQSGA)were be contrasted after treatment.Results:After using moxibustion, the total amount of 24-hours ultrafiltration significantly increase, the concentration of hs-CRP and IL-6 significantly decrease(P<0.05),the concentration of Alb and Pre-A significantly increase(P<0.05),the rating of chinese medical symptom and MQSGA also significantly increase(P<0.05). Conclusion:The moxibustion effectively increases the amount of ultrafiltration,reduce the microinflammation and improve malnutrition in hyper-transport CAPD patients.