六君子汤对终末期肾病合并营养不良患者的补充治疗作用  

Supplementary treatment effects of Liujunzitang on patients with end-stage renal disease combined with malnutrition

作　　者：于明[1] 皋月娟[2] 袁红[3] 

机构地区：[1]总参第六十一研究所门诊部,北京100036 [2]解放军302医院超声心电图科 [3]武警总医院中西医结合科

出　　处：《中国民康医学》2015年第1期7-8,11,共3页Medical Journal of Chinese People’s Health

基　　金：院内课题基金(项目编号:YNKT2012037)

摘　　要：目的:探讨六君子汤对终末期肾病(ESRD)合并营养不良患者的补充作用。方法:对ESRD合并营养不良48例患者给予六君子汤治疗,每日1剂,分2次服,每次100 ml。30 d为1个疗程,连续观察2个疗程。监测治疗前后白蛋白、前白蛋白、转铁蛋白水平;进行营养评估(SGA);观察患者厌食、乏力及皮肤瘙痒等临床症状的缓解情况。结果:治疗后患者的白蛋白、前白蛋白和转铁蛋白水平有明显提高(P<0.01);治疗前AC、TSF、AMC值均为最小,随着治疗的进展,患者的各项指标均有提高;SGA评分营养不良总发生率降低;患者厌食、乏力症状有改善。结论:在充分透析的同时六君子汤对ESRD合并营养不良患者有较好疗效,可作为补充治疗。Objective：To investigate supplementary effects of Liujunzitang on patients with end-stage renal disease （ ESRD） combined with malnutrition. Methods： Liujunzitang was administered to 48 malnourished ESRD patients, one dose per day, served with two times, each time 100 ml. Treatment course was 60 days with 30 days as a course. The levels of albumin, prealbumin and transferrin before and after the treatment were monitored. The subjective global assessment （ SGA） was performed. The remissions of clinical symptoms of anorexia, fatigue and itch skin were observed. Results： The levels of albumin, prealbumin and transferrin were significantly increased, respectively （P〈0. 01） after the treatment. Before the treatment, the values of AC, TSF and AMC were mini_mum;however, they increased with the treatment. The incidence rate of malnutrition was decreased according to SGA score. The symptoms of anorexia and fatigue were alleviated. Conclusions： Liujunzitang has a good effect on the patients with ESRD combined with malnutrition and can be used as a supplementary treatment.

关 键 词：终末期肾病 营养不良 六君子汤 

分 类 号：R692.5[医药卫生—泌尿科学]