健脾补肾活血泻浊法对血透患者微炎症状态的影响  

THE EFFECT OF THE METHOD OF STRENGTHENING THE SPLEEN,INVIGORATING THE KIDNEY AND REMOVING DAMP,PROMOTING BLOOD CIRCULATION ON THE MICRO-INFLAMMATION STATE OF MAINTENANCE HEMODIALYSIS PATIENTS

作　　者：钟丹[1] 张玉峰[2] 陈根云[1] 王娟[1] 

机构地区：[1]井冈山大学医学院,江西吉安343000 [2]河南中医学院第二附属医院,河南郑州450002

出　　处：《井冈山大学学报（自然科学版）》2011年第5期121-123,共3页Journal of Jinggangshan University (Natural Science)

摘　　要：目的观察健脾补肾活血泻浊类中药复方对脾肾气虚,湿瘀内阻型慢性肾功能衰竭进入维持性血液透析患者的微炎症状态的影响。方法 60例中医辩证属于脾肾气虚,湿瘀内阻型的维持性血液透析患者随机分为治疗组30例、对照组30例。对照组采用常规血透治疗,治疗组在常规血透治疗的基础上加用健脾补肾活血泻浊类中药复方。结果治疗组微炎症状态指标:CRP、IL-6及TNF-α均下降,而且与治疗前及对照组相比均有统计学差异(P<0.05)。结论健脾补肾活血泻浊法可以显著减轻中医辨证为脾肾气虚,湿瘀内阻型的慢性肾功能衰竭血透患者的微炎症状态,提高生存质量。Objective： To explore the effect of the compound of strengthening the spleen, invigorating the kidney and removing turbidness, promoting blood circulation on the micro-inflammation state of maintenance hemodialysis patients. Methods： 60 patients with the syndrome of asthenia of spleen and kidney, blood and the turbid internal stasis were randomly divided into treatment and control group （30 cases per group）. Both groups were treated with Hemodialysis, and the Chinese Herbal Compound were added in the treatment group. Results： The micro-inflammation state indexes including the concentrations of CRP, IL-6 and TNF-α in treatment group decreased markedly after being treated with the Chinese Herbal Compound for 3 months, which had statistical difference （P〈0.05） compared with the control group and pretreatment. Conclusion： The method of strengthening the spleen, invigorating the kidney, promoting blood circulation and removing turbidness can reduce the level of the state of micro-inflammation and improve the quality of life in patients with chronic renal failure.

关 键 词：慢性肾功能衰竭 微炎症 生存质量 

分 类 号：R277.5[医药卫生—中医学]