首页|基于免疫调节与抗氧化作用探讨圣愈汤治疗肾性贫血的临床价值

基于免疫调节与抗氧化作用探讨圣愈汤治疗肾性贫血的临床价值

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目的 探讨圣愈汤联合西药治疗肾性贫血(RA)的临床效果及对免疫调节和氧化应激的影响.方法 将80例维持性血液透析伴有中度RA患者随机等分成两组,对照组予红细胞生成刺激剂及铁剂治疗,观察组在对照组基础上加用圣愈汤治疗.观察两组临床疗效及治疗前后T淋巴细胞亚群、血红蛋白(Hb)、血细胞比容(Hct)、丙二醛(MDA)、超氧化物歧化酶(SOD)、C反应蛋白(CRP)及白细胞介素-6(IL-6)水平,记录不良反应情况.结果 观察组治疗总有效率为87.50%(35/40),高于对照组的70.00%(28/40)(P<0.05).治疗后,观察组T淋巴细胞亚群水平改善,且优于对照组(P<0.05);两组Hb、Hct水平高于治疗前,且高于对照组(P<0.05);观察组MDA降低、SOD升高,且优于对照组(P<0.05).两组治疗前后CRP、IL-6水平比较,差异无统计学意义(P>0.05).结论 圣愈汤联合西药治疗RA患者,可有效提高临床效果,减轻氧化应激反应,调节免疫状态,安全性高,值得推广.
Discussion on the Clinical Value of Shengyu Decoction in the Treatment of Renal Anemia Based on Immune Regulation and Antioxidation
Objective To explore the clinical effect of Shengyu decoction combined with Western medicine on renal anemia and its in-fluence on immune regulation and oxidative stress.Methods A total of 80 cases of maintenance hemodialysis patients with moderate renal anemia were randomly divided into two equal groups.The control group was treated with erythropoietic stimulant and iron,while the observation group was treated with Shengyu decoction on the basis of the control group.The curative effect of syndrome before and after treatment,detect the changes of Hb(hemoglobin),HCT(hematocrit),Tlymphocyte subsets,MDA(malondialdehyde),SOD(superox-ide dismutase),CRP(C-reactive protein)and IL-6(interleukin 6)before and after treatment were observed,and the adverse reactions of drugs were recorded.Results The total effective rate of the observation group was 87.50%(35/40),which was higher than that of the control group(70.00%,28/40)(P<0.05).After treatment,the level of T lymphocyte subsets in observation group was improved,and was better than that in control group(P<0.05).Hb and Hct water levels in 2 groups were higher than before treatment,and higher than con-trol group(P<0.05);MDA decreased and SOD increased in the observation group,which was better than that in the control group(P<0.05).There was no significant difference in CRP and IL-6 levels between the two groups before and after treatment(P>0.05).Con-clusion Shengyu decoction combined with Western medicine can effectively improve the clinical efficacy of patients with renal ane-mia,reduce oxidative stress reaction,regulate immune status,and has high safety,which is worthy of promotion.

anemiarenal anemiaShengyu decoctiontherapy of integrated traditional Chinese and Western medicine

李金花、朱璐、段志新、刘永芳

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九江市中医医院肾病六科,江西九江 332000

血劳 肾性贫血 圣愈汤 中西医结合疗法

2025

中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
年,卷(期):2025.23(2)