论文部分内容阅读
目的:观察辨证施膳对不同证型慢性肾衰竭患者的疗效。方法:将辨证为脾肾气虚证、肝肾阴虚证、脾肾阳虚证3种证型的患者均随机分为治疗组和对照组。各组患者基础治疗相同,不同证型治疗组选用不同的中药水煎液,将山药粉和小麦淀粉通过特定烹调流程制成山药淀粉糊后服用,对照组不食用山药淀粉糊,以普通粳米为主食。观察2周,评估试验前后体重、血浆白蛋白、尿素氮、血肌酐和内生肌酐清除率等的变化。结果:所有患者试验前后体重无明显变化(P>0.05)。3个证型治疗组试验后血浆白蛋白升高,尿素氮、血肌酐下降,内生肌酐清除率升高(均P<0.05);3个证型对照组以上各指标均无明显变化(P>0.05)。结论:慢性肾衰竭患者辨证食用山药淀粉糊药膳能保持体重,提升血浆白蛋白,降低血肌酐和尿素氮,改善肾功能。
Objective: To observe the effect of syndrome differentiation on patients with different syndromes of chronic renal failure. Methods: The syndrome differentiation of spleen and kidney Qi, liver and kidney yin deficiency, spleen and kidney yang deficiency syndrome three kinds of patients were randomly divided into treatment group and control group. Each group of patients with the same basic treatment, different syndromes treatment group choose different decoction of traditional Chinese medicine, yam and wheat starch through a specific cooking process made of yam starch paste, the control group does not eat yam starch paste to ordinary japonica rice Staple food The changes of body weight, serum albumin, urea nitrogen, serum creatinine and endogenous creatinine clearance before and after the experiment were evaluated. Results: All patients had no significant changes in body weight before and after the test (P> 0.05). The levels of plasma albumin, urea nitrogen, serum creatinine and endogenous creatinine clearance in the three treatment groups were significantly higher than those in the control group (P <0.05) > 0.05). Conclusion: In patients with chronic renal failure, the yam starch paste can maintain body weight, raise serum albumin, lower serum creatinine and urea nitrogen and improve renal function.