中药辩证施治对血液透析患者营养状态及残余肾功能的影响

目的探讨中药辩证施治对长期血液透析患者营养状态及残余肾功能的影响。方法将56例肾病长期血液透析营养不良的患者分为中药干预治疗组(A组)及单纯透析对照组(B组),治疗组应用中药辩证进行治疗干预,疗程为6个月,两组均于治疗前后,运用主观整体评估法及测量体重指数、肱三头肌皮褶厚度、上臂肌围等指标来了解开始时及6月后的营养状况,并检测其残余肾功能的变化。结果 A组患者整体营养状态较B组有明显改善,而A组残余肾功能在治疗后明显要好于B组,差异均有统计学意义(P<0.05)。结论中药辩证施治可有效改善长期血液透析患者营养状态及延缓残余肾功能的丢失。

Effect of Chinese medicine dialectical therapy on the long-term hemodialysis patients of the nutrition status and the residual kidney function

Objective To study the effect of Chinese medicine dialectical therapy on the long-term hemodialysis patients of the nutrition status and the residual kidney function. Methods 56 cases of nephropathy in long-term hemodialysis and malnutrition patients were divided into Chinese medicine intervention treatment group（group A） and simple dialysis in control group（group B）, Group A used Chinese medicine dialectical treatment intervented, treatment for 6 months. The two groups before and after treatment in all,using subjective overall evaluation method and measuring of body mass index, triceps skinfold thickness,arm muscle circumference indexes,to understand the nutritional status of the beginning and after 6 months, and testing the residual renal function changes. Results The patients of group A overall nutritional status than that of group B were significantly improved, and the residual renal function of group A after treatment significantly better than group B,the differences were statistically significant（P〈0.05）. Conclusion Chinese medicine dialectical therapy can effectively improve the nutrition status of long-term hemodialysis patients and delay the residual kidney function loss.