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目的观察药浴对慢性肾脏病III期伴高脂血症患者血脂的调节作用.方法将60例慢性肾脏病III期伴高脂血症,中医诊断为痰湿血淤证的患者随机分为药浴组和对照组,各30例.对照组采用现代医学一体化治疗,药浴组在现代医学一体化治疗的基础上行“开腠泄浊液”辨证施浴.两组分别于治疗前1 d及治疗后30 d时,观察血清总胆固醇、甘油三酯、高密度脂蛋白胆固醇等.结果药浴组经30 d药浴后,患者肾功能改善,血清总胆固醇、甘油三酯降低,高密度脂蛋白胆固醇上升,与对照组及本组药浴前比较差异均有统计学意义(P<0.05或P<0.01).结论药浴能有效调节慢性肾脏病III期伴高脂血症患者的血脂水平.“,”Objective To observe the regulating effect of medicated bath on blood lipid level in patients with stage III chronic kidney disease and hyperlipidemia. Methods Sixty cases of stage III chronic kidney disease with hyperlipidemia were randomly divided into medicated bath group (n=30) and control group (n=30). Patients in control group received integrated treatment while those in medicated bath group received medicated bath in addition to integrated treatment. Results The difference among renal function, TG, TC, HDL-C between two groups and before and after treatment in medicated bath group indicated significant difference (P<0.05 or P<0.01). Conclusion Medicated bath is effective for the regulation of blood lipid levels in patients with stage III chronic kidney disease and hyperlipidemia.