高位结肠灌洗延缓肾功能衰竭98例临床观察  

Clinical Observation on High Colonic Lavement for Delaying Renal Failure in 98 Cases

作　　者：王璞[1] 陶筱娟[1] 薛红珍[1] 

机构地区：[1]浙江省杭州市红十字会医院肾内科,杭州市环城东路38号310004

出　　处：《中医杂志》2003年第11期835-837,共3页Journal of Traditional Chinese Medicine

摘　　要：目的:观察中西医结合高位结肠灌洗延缓肾功能衰竭的效果。方法:98例肾功能衰竭失代偿期患者随机分为两组,治疗组行高位结肠灌洗,每周2次,每次2小时,对照组口服包醛氧化淀粉,每次10g,每天3次。疗程均为3个月。结果:与治疗前及对照组相比,高位结肠灌洗后,患者临床症状改善,血尿内生肌酐清除值下降速度减缓,肾生存率提高,采用透析等替代治疗的时间明显推迟。结论:高位结肠灌洗可显著延缓肾功能衰竭速度,对胃及小肠刺激小,为慢性肾功能衰竭保守治疗的有效手段。Objective: To observe effect of combination of TCM-WM with high colonic lavement for delaying renal failure. Methods: 98 cases of renal failure at compensatory phase were randomly divided into a treatment group treated with high colonic lavement, twice each week. 2 hours each time, and a control group treated with oral administration of coated aldehyde oxystarch,10g each time, thrice each day, 3 months constituting one course. Results: After lavenment. symptoms were improved, deceaseing velosity of the clearance rate of endogenous creatinine in blood and urine slowed lowered, renal survival rate of kidney increased, and the interval of dialasis and other replacement therapy obviously postponed in the treatment group as compared with that before treatment and the control group. Conclusion: The high colonic lavement has obvious therapeutiv effect in delaying renal failure velosity with a smaller stimulation to the stomach and smal intestine. It is an effective way for conservation treatment of renal failure.

关 键 词：高位结肠灌洗 肾功能衰竭 冲洗法 保守治疗 

分 类 号：R277.51[医药卫生—中医学]