首页|六味地黄汤加减对慢性肾衰竭患者微炎症指标及肾功能的影响

六味地黄汤加减对慢性肾衰竭患者微炎症指标及肾功能的影响

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目的:探讨六味地黄汤加减对慢性肾衰竭(CRF)患者微炎症指标及肾功能的影响.方法:选取宜春市中医院 2021 年 7 月—2022 年 12 月收治的 95 例CRF患者,按随机数字表法将其分为对照组(n=48)、研究组(n=47).对照组予常规治疗,研究组基于常规治疗予六味地黄汤加减治疗.对比两组疗效、微炎症指标、肾功能指标及不良反应.结果:相比对照组,研究组总有效率较高,差异有统计学意义(P<0.05);相比对照组,研究组治疗 4 周后C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、血肌酐(Scr)、血尿素氮(BUN)水平均更低,内生肌酐清除率(Ccr)水平更高,差异均有统计学意义(P<0.05);两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论:CRF患者采用六味地黄汤加减治疗效果较好,可降低微炎症指标水平,改善肾功能,且安全性好.
Effect of Modified Liuwei Dihuang Decoction on Microinflammatory Index and Renal Function in Patients with Chronic Renal Failure
Objective:To explore the effect of modified Liuwei Dihuang Decoction on microinflammatory index and renal function in patients with chronic renal failure(CRF).Method:A total of 95 patients with CRF admitted to Yichun Hospital of Traditional Chinese Medicine from July 2021 to December 2022 were selected and divided into control group(n=48)and study group(n=47)according to random number table method.The control group received conventional treatment,and the study group received modified Liuwei Dihuang Decoction based on conventional treatment.The efficacy,microinflammatory indexes,renal function indexes and adverse reactions were compared between the two groups.Result:Compared with the control group,the total effective rate of the study group was higher,the difference was statistically significant(P<0.05).Compared with the control group,the levels of C reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),serum creatinine(Scr)and blood urea nitrogen(BUN)were lower in the study group after 4 weeks of treatment,and the level of endogenous creatinine clearance rate(Ccr)was higher,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment effect of modified Liuwei Dihuang Decoction is better in patients with CRF,which can reduce the levels of microinflammatory indexes,improve renal function,and has good safety.

Chronic renal failureModified Liuwei Dihuang DecoctionMicroinflammatory indexesRenal function

周颖、陈伟、甘翔、刘芳、杨婕

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宜春市中医院血透室 江西 宜春 336000

宜春市中医院质控科 江西 宜春 336000

宜春市中医院肾内科 江西 宜春 336000

慢性肾衰竭 六味地黄汤加减 微炎症指标 肾功能

宜春市指导性科技计划

2023ZDJH3072

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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