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血液净化治疗联合济生肾气丸对尿毒症患者蛋白质和能量贮备的影响

张伟兰

中国药房2016,Vol.27Issue(12):1602-1604,3.
中国药房2016,Vol.27Issue(12):1602-1604,3.DOI:10.6039/j.issn.1001-0408.2016.12.06

血液净化治疗联合济生肾气丸对尿毒症患者蛋白质和能量贮备的影响

Effects of Hemofiltration Combined with Jisheng Shenqi Pill on Protein and Energy Reserves of Uremia Pa-tients

张伟兰1

作者信息

  • 1. 上海市奉贤区中心医院急诊科,上海 201400
  • 折叠

摘要

Abstract

OBJECTIVE:To observe the effects of hemofiltration combined with Jisheng shenqi pill on protein and energy re-serves of uremia patients. METHODS:124 uremia patients were randomly divided into control group(n=60) and test group (n=64). Control group was given 250-300 ml/min hemofiltration,4 h for every times,3 times a week;test group was additionally giv-en 9 g Jisheng shenqi pill,twice a day. The treatment course for both groups was 12 months. Hemoglobin(Hb),blood urea nitro-gen (BUN),glutamate aminotransferase (ALT),albumin (ALB),serum transferrin (TF),plasma fibronectin (FN),systolic blood pressure,diastolic blood pressure,mean arterial pressure;body mass index(BMI),subcutaneous fat thickness and arm mus-cle circumference in 2 groups before and after treatment were observed. RESULTS:After treatment,Hb,TF and FN levels in 2 groups were significantly higher than before,test group was higher than control group;ALT,ALB,BUN levels,systolic blood pressure,diastolic blood pressure and mean arterial pressure were significantly lower than before,test group was lower than control group;there were significant differences in the BMI,subcutaneous fat thickness and arm muscle circumference between control group and before and test group(P<0.05),but there was no significant difference in the BMI,subcutaneous fat thickness and arm muscle circumference in test group before and after treatment(P>0.05). CONCLUSIONS:Hemofiltration combined with Jisheng shenqi pill can improve microenvironment in vivo and immune function,reduce accelerated metabolic induced by inflammation and improve protein and energy reserves to improve life quality of patients.

关键词

血液净化治疗/济生肾气丸/尿毒症/蛋白质/能量贮备

Key words

Hemofiltration/Jisheng shenqi pill/Uremia/Protein/Energy reserve

分类

医药卫生

引用本文复制引用

张伟兰..血液净化治疗联合济生肾气丸对尿毒症患者蛋白质和能量贮备的影响[J].中国药房,2016,27(12):1602-1604,3.

中国药房

OA北大核心CSTPCD

1001-0408

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