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中药足浴联合灌肠佐治糖尿病肾病慢性肾衰竭失代偿期疗效观察
基金项目:浙江省中医药科技计划项目(2017ZA145)
摘    要:目的 观察糖尿病肾病慢性肾衰竭失代偿期患者治疗过程中应用中草药足浴、灌肠的临床效果。方法 选择本院2018年1~10月间收治的52例糖尿病合并慢性肾衰竭失代偿期患者作为研究对象,按照随机数字表法分组原则将其分为对照组和观察组,两组患者例数相等均为26例,对照组患者给予常规护理措施,观察组患者在对照组患者的基础上联合中草药足浴以及灌肠治疗方法,对比两组患者临床治疗总有效率、治疗前后的生活质量评分以及肾功能等指标改善情况。结果 治疗前,两组患者生活质量评分、肾功能相关指标数据对比没有明显差异(P>0.05);治疗后观察组患者生活质量评分明显高于对照组,肾功能等指标改善情况均优于对照组(P<0.05);观察组患者临床治疗总有效率和对照组相比较具有明显差异(P<0.05)。结论 在糖尿病肾病慢性肾衰竭失代偿期使用中草药足浴、灌肠辅助治疗方式具有显著效果,能够改善患者临床症状以及肾功能指标,值得推广。

关 键 词:中草药足浴  灌肠  糖尿病  慢性肾衰竭  临床疗效

Effects of Chinese medicine foot bath combined with enema on decompensated chronic renal failure with diabetic nephropathy
Abstract:Objective To investigate the clinical effects of Chinese herbal medicine foot bath and enema in the treatment of patients with diabetic nephropathy and decompensated chronic renal failure.Methods A total of 52 patients with diabetes mellitus complicated with decompensated chronic renal failure who were admitted to our hospital from January to October 2018 were enrolled.Participants were divided into control group and observation group according to table of random digit,26 cases in each group.Patients in the control group were given routine nursing measures,while those in observation group were treated with extra Chinese herbal medicine foot bath and enema beside routine care.The total clinical treatment efficiency,quality of life before and after treatment,and kidney functions were compared between two groups.Results Before treatment,there was no significant difference in the assessment of quality of life and renal functions between the two groups(P>0.05).After treatment,the quality of life scores in observation group was higher than that in control group,and the renal functions in observation group was better than that in control group (P<0.05);there was significant difference of total clinical treatment efficiency between observation group and control group(P<0.05).Conclusion Chinese herbal medicine foot bath combined with enema is effective in treatment of decompensated period of chronic diabetic nephropathy.It can improve the clinical symptoms and renal functions,making it worthy of wider application.
Keywords:Chinese herbal foot bath  Enema  Diabetes  Chronic renal failure  Clinical efficacy
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