首页|归补血汤联合八段锦对糖尿病肾病腹膜透析患者预后及相关指标的影响

归补血汤联合八段锦对糖尿病肾病腹膜透析患者预后及相关指标的影响

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目的 分析当归补血汤联合八段锦对糖尿病肾病腹膜透析患者预后及相关指标的影响。方法 选择2021年1月至2022年3月于龙泉市人民医院就诊的130例确诊糖尿病肾病腹膜透析患者作为研究对象,全部患者随机分为观察组和对照组,每组65例患者,对照组患者给予口服盐酸贝那普利片治疗,观察组在对照组基础上给予中医当归补血汤联合八段锦治疗,对比治疗前后血糖控制情况、肾功能指标及血清炎症因子水平。结果 2组患者治疗前血糖情况、肾功能指标及血清炎症因子水平差异均无统计学意义(P>0。05),治疗后,2组患者空腹血糖、餐后2 h血糖、糖化血红蛋白均低于治疗前,且观察组低于对照组(t1=7。424,P1<0。001,t2=4。202,P2<0。001,t3=6。843,P3<0。001);24 h尿蛋白定量、血尿素氮、尿蛋白排泄率水平均低于治疗前,且观察组低于对照组(t4=7。462,P4<0。001,t5=6。673,P5<0。001,t6=4。560,P6<0。001);血清C反应蛋白、肿瘤坏死因子-α、白细胞介素6均低于治疗前,且观察组低于对照组(t7=4。817,P7<0。001,t8=6。049,P8<0。001,t9=6。694,P9<0。001)。结论 当归补血汤联合八段锦治疗糖尿病肾病腹膜透析患者可以有效降低血糖、改善肾功能、降低血清炎性因子水平,有助于改善患者预后,值得临床推广应用。
Effect of Danggui Buxue Decoction combined with Baduanjin on prognosis and related indicators of diabetic nephropathy patients with peritoneal dialysis
Objective To study the effect of Danggui Buxue Decoction combined with Baduanjin on the prognosis and related indexes of diabetic nephropathy patients undergoing peritoneal dialysis.Methods From January 2021 to March 2022,a total of 130 patients with diagnosed diabetic nephropathy undergoing peritoneal dialysis in Longquan People's Hospital were selected as the research object.All patients were randomly divided into observation group and control group,with 65 patients in each group.The control group was treated with oral benazepril hydrochloride tablets,while the observation group was treated with Danggui Buxue Decoction combined with Baduanjin on the basis of the control group.The blood glucose control,renal function indexes and serum inflammatory factors were compared before and after treatment.Results There were no statistical differences in blood glucose,renal function indexes and serum inflammatory factors between the two groups before treatment(P>0.05).After different treatment methods,fasting blood glucose(FPG),2 h postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)in the two groups were significantly lower than before treatment.The observation group was lower than the control group(t1=7.424,P,<0.001,t2=4.202,P2<0.001,t3=6.843,P3<0.001).The levels of 24-hour urine protein quantification(24 h UTP),blood urea nitrogen(BUN)and urine albumin excretion rate(UAER)were significantly lower than those before treatment,and the observation group was lower than the control group(t4=7.462,P4<0.001,t5=6.673,P5<0.001,t6=4.560,P6<0.001).Serum levels of C-reactive protein(C-CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)were significantly lower than those before treatment,and those in the observation group were lower than those in the control group(t7=4.817,P7<0.001,t8=6.049,P8<0.001,t9=6.694,P9<0.001).Conclusion Danggui Buxue Decoction combined with Baduanjin in the treatment of peritoneal dialysis patients with diabetes nephropathy can effectively reduce the blood glucose,improve renal function,and reduce the level of serum inflammatory factors,which is helpful to improve the prognosis of patients and worthy of clinical application.

Dang Gui Bu Xue TangDiabetic nephropathiesPrognosisBa Duan Jin

刘海燕、吴峰芬、潘永金、周飞燕、孙晓莉

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龙泉市人民医院肾内科,浙江龙泉 323700

丽水市人民医院肾内科,浙江丽水 323000

当归补血汤 糖尿病肾病 预后 八段锦

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(12)