首页|补肾活血解毒方联合益生菌干预Ⅲ期慢性肾脏病的效果观察

补肾活血解毒方联合益生菌干预Ⅲ期慢性肾脏病的效果观察

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目的:观察补肾活血解毒方联合益生菌干预Ⅲ期慢性肾脏病(CKD)的效果。方法:纳入2022年3月至2023年3月首都医科大学附属北京康复医院收治的80例Ⅲ期CKD患者作为研究对象,按随机数字表分为对照组和观察组,各40例。对照组给予CKD常规西医治疗,观察组在对照组基础上给予补肾活血解毒方联合益生菌干预治疗。分别对治疗前后两组患者中医临床症状积分、肾功能参数[肾小球滤过率(eGFR)、尿素氮(BUN)、肌酐(SCr)]、肾血流参数[血流速度、平均灌注强度、阻力指数(RI)]、炎症因子水平[血清C反应蛋白(CRP)、白细胞介素-6(IL-6)]进行比较,并观察其临床疗效和不良反应。结果:对照组脱落2例,最终对照组38例、观察组40例完成本研究。治疗后,观察组患者中医临床症状积分、BUN、SCr、RI、CRP、IL-6均低于对照组,差异均有统计学意义(P<0。05);观察组患者eGFR、血流速度、平均灌注强度均高于对照组,差异均有统计学意义(均P<0。05);观察组总有效率(92。50%)高于对照组(76。32%),差异有统计学意义(P<0。05);观察组总不良反应发生率(5。00%)低于对照组(13。16%),但差异无统计学意义(P>0。05)。结论:补肾活血解毒方联合益生菌干预可增强Ⅲ期CKD患者的临床疗效,改善肾皮质血流及肾功能,减轻肾脏炎症反应和不良反应。
Effect of Bushen Huoxue Jiedu Formula(补肾活血解毒方)combined with Probiotics on Chronic Kidney Disease with Stage Ⅲ
Objective:To observe the clinical efficacy of Bushen Huoxue Jiedu Formula(补肾活毒方,BSHXJDF)combined with probiotics on chronic kidney disease(CKD)with stage Ⅲ.Methods:From March 2022 to March 2023,a total of 80 patients with stage Ⅲ CKD admitted to Beijing Rehabilitation Hospital of Capital Medical University were included in the study,and they were divided into control group and observation group according to the randomized numerical table,each with 40 cases.The control group was given conventional treatment of CKD,while the observation group was given BSHXJDF combined with probiotics on basis of the control group.Before and after treatment,the TCM clinical symptom scores,renal function parameters[estimated glomerular filtration rate(eGFR),blood urea nitrogen(BUN),and creatinine(SCr)],renal blood flow parameters[blood flow velocity,mean perfusion strength,and resistance index(RI)],inflammatory factor levels[C-reactive protein(CRP)and interleukin-6(IL-6)]were compared in the two groups,respectively.The clinical efficacy and adverse reactions were observed.Results:Two cases were shed in the control group,and finally 38 cases in the control group and 40 cases in the observation group completed this study.After treatment,the TCM clinical symptom score,BUN,SCr,RI,CRP,and IL-6 of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The eGFR,blood flow velocity and mean perfusion intensity of the observation group were higher than those of the control group,and these differences were statistically significant(P<0.05).In addition,the total effective rate of 92.50%in the observation group was higher than that of 76.32%in the control group,and the difference was statistically significant(P<0.05).The total adverse reaction incidence rate of 5.00%in the observation group was lower than that of 13.16%in the control group,whlie the difference was not statistically significant(P>0.05).Conclusion:BSHXJDF combined with probiotics can enhance the clinical efficacy of stage Ⅲ CKD patients,improve renal cortical blood flow and renal function,and reduce renal inflammatory reactions and adverse reactions.

chronic kidney diseaseprobioticsBushen Huoxue Jiedu Formularenal functioninflammatory reaction

郭锦锦、高杰清、闫丽欣、贾云肖

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首都医科大学附属北京康复医院,北京 100144

慢性肾脏病 益生菌 补肾活血解毒方 肾功能 炎症反应

国家重点研发计划中医药现代化研究重点专项国家自然科学基金北京市首都医科大学附属北京康复医院青年科研项目

2019YFC170940281500641BJKF202203-16

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(4)
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