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中药肾衰灌肠液直肠滴入治疗慢性肾功能衰竭
引用本文:刘双霞,王峥,方方,王方茹.中药肾衰灌肠液直肠滴入治疗慢性肾功能衰竭[J].吉林中医药,2022,42(2):195-198.
作者姓名:刘双霞  王峥  方方  王方茹
作者单位:河南中医药大学第一附属医院,郑州 450000
基金项目:河南省中医药科学研究专项课题(2019JDZX2116)。
摘    要:目的 观察中药肾衰灌肠液直肠滴入对慢性肾功能衰竭Ccr、炎症因子以及KDTA评分的影响.方法 将患者随机分为2组,对照组给予常规治疗,观察组加用肾衰灌肠液直肠滴入(生大黄50 g,煅牡蛎50 g,蒲公英30 g,枳实30 g,熟附子15 g,以50 mL、39~41℃的药物原汁滴入直肠,保留30~60 min,每日1次...

关 键 词:肾衰灌肠液  直肠滴入  慢性肾功能衰竭  内生肌酐清除率  炎症因子  KDTA评分

Effect of Shenshuai Guanchang Liquid by rectoclysis on patients with chronic renal failure
LIU Shuangxia,WANG Zheng,FANG Fang,WANG Fangru.Effect of Shenshuai Guanchang Liquid by rectoclysis on patients with chronic renal failure[J].Jilin Journal of Traditional Chinese Medicine,2022,42(2):195-198.
Authors:LIU Shuangxia  WANG Zheng  FANG Fang  WANG Fangru
Institution:(The First Affi liated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)
Abstract:Objective To observe the effect of Shenshuai Guanchang Liquid by rectoclysis on the creatinine clearance rates (Ccr),levels of inflammatory factors and KDTA scores in patients with chronic renal failure (CRF).Methods The patients with CRF were randomly divided into a control group and an observation group.The control group was given a routine treatment,while the observation group was additionally treated with Shenshuai Guanchang Liquid by rectoclysis (with 50 ml of the liquid at 39 °C to 41 °C dripped into the rectum,retained for 30-60 minutes,once a day).The clinical efficacy,Ccr,levels of inflammatory factors and KDTA scores of the two groups were compared after treatment.Results The total effective rate of the observation group was significantly higher than that of the control group (P<0.05).After treatment,the Ccr in the observation group was significantly higher than that in the control group and before treatment (P<0.05),while the levels of Scr and BUN were significantly lower than those in the control group and before treatment (P<0.05).The levels of hs-CRP,IL-6,IL-1 and TNF-α in the observation group were significantly decreased after treatment compared with the control group and before treatment (P<0.05).The KDTA score of the observation group after treatment was significantly higher than that of the control group and before treatment (P<0.05).Conclusion Shenshuai Guanchang Liquid by rectoclysis can effectively improve the rehabilitation effect of patients with chronic renal failure,improve their renal function indexes,alleviate their inflammatory symptoms and improve their quality of life.
Keywords:Shenshuai Guanchang Liquid  rectoclysis  chronic renal failure  endogenous creatinine clearance rate  inflammatory factors  KDTA score
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