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全部病例均给予低蛋白饮食,低磷饮食,严格控制非必需氨基酸的摄入,并注意营养状态,防止体质消耗。自拟灌肠方组成:大黄30g,牡蛎30g,龙骨30g,蒲公英30g,丹参30g,附子15g,黄芪60 g,当归15 g。将上药每次煎至100～150ml,等温度降至38℃时高位保留灌肠,保留1小时以上,每日2次,毎剂药煎2次,连续2周为1疗程,休息1周,再行第二疗程后观察,全部病例均未进行透析治疗。结果:30例患者治疗前尿素氮(23.1±7.6)mmol/L,治疗后降至(16.2±6.7)mmol/L(P<0.01);治疗前血清肌酐(530.3±50.3)μmol/L,治疗后(433±93.2)μmol/L(P<0.01)。结论:我科应用自拟灌肠方治疗,配合西药治标,不失为基层医院治疗糖尿病肾病合并慢性肾功能衰竭的良策。
All cases were given low-protein diet, low phosphorus diet, strict control of non-essential amino acid intake, and pay attention to nutritional status, to prevent physical consumption. Self-made enema side composition: rhubarb 30g, oyster 30g, keel 30g, dandelion 30g, Salvia 30g, aconite 15g, Astragalus 60 g, Angelica 15 g. The medicine on each fry until 100 ~ 150ml, when the temperature dropped to 38 ℃ high reserved enema, reserved for more than 1 hour, 2 times a day, After the second course of treatment was observed, all cases were not dialysis treatment. Results: Before treatment, 30 patients were treated with urea nitrogen (23.1 ± 7.6) mmol / L and decreased to (16.2 ± 6.7) mmol / L after treatment (P <0.01). Serum creatinine (530.3 ± 50.3) After (433 ± 93.2) μmol / L (P <0.01). Conclusion: Our department applied self-made enema treatment, with Western medicine standard, after all, the primary hospital for the treatment of diabetic nephropathy with chronic kidney failure and good strategy.