摘要
目的:观察中西医结合治疗维持性血液透析(血透)慢性肾衰竭(CRF)肾性贫血的疗效。方法:采用中西医结合的方法治疗维持性血透CRF肾性贫血36例,并与单纯西医治疗的36例进行对比观察。结果:治疗组总有效率91.67%,显著优于对照组69.44%(P<0.05);治疗组RBC、Hb、Hct、STP、网织红细胞计数升高的水平和FIB的改善均优于对照组(P<0.05),且网织红细胞计数达到高峰的时间早于对照组(P<0.05),波动幅度较对照组平稳;治疗组红细胞脆性抗幅增大及症状、体征的改善也优于对照组(P<0.01);且对SF、TS、血压、PLT及电解质无明显影响。结论:中西医结合治疗肾性贫血疗效较单纯西医治疗好。
Objective:To observe the Chinese and Western medicine treatment(TCM - WM)of the Renal anemia of Chronic renal failure(CRF) of maintained hemodialysis (HD). Methods :The clinical characteristics ,diagnosis of 36 cases with the Renal anemia of CRF of maintained HD, all the cases were treated by the TCM - WM. And then compared with 36 cases who were treated by only western medicine. Results:The total effective rate of the treatment group of 91.67%, which are significantly better than the control group of 69.44% (P 〈0. 05) ;The count of RBC,Hh,Hct,STP,reticulocyte and the improvement level of FIB in the treatment group are better than in the control group ( P 〈 0. 05), the time to peak of reticnlocyte count earlier than the control group(P 〈0. 05) ,and the fluctuations are More stable than the control group;It is better for the anti-erythrecyte fragility and the improvement of symptoms, signs in the treatment group than in tile control group (P 〈 0. 01 ) ;And have no significant effect in SF, TS,blood pressure,PLT and electrolytes. Conclusion:It is better in using the TCM combined with WM treatment than only in using Western medicine treatment.
出处
《辽宁中医杂志》
CAS
北大核心
2009年第10期1753-1756,共4页
Liaoning Journal of Traditional Chinese Medicine
关键词
慢性肾衰竭
肾性贫血
中西医结合疗法
Chronic renal failure
Renal anemia
Therapy of TCM combined with WM