隔药饼灸治疗慢性肾脏病的疗效观察  

Observation on the Efficacy of Herb-partitioned Moxibustion in Treating Chronic Kidney Disease

作　　者：左政[1] 黄培冬[2] 袁恺[1] ZUO Zheng1, HUANG Pei-dong2, YUAN Kai1.(1.Yunnan University of Traditional Chinese Medicine, Kunming 650500, China; 2. Guangzhou University of Chinese Medicine, Guangzhou 510000, China)

机构地区：[1]云南中医学院,昆明650500 [2]广州中医药大学,广州510000

出　　处：《上海针灸杂志》2018年第7期738-741,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(81660815)

摘　　要：目的观察隔药饼灸治疗慢性肾脏病的临床疗效。方法将80例慢性肾脏病患者随机分为治疗组和对照组,每组40例。对照组采用常规药物治疗及饮食控制,治疗组在适当饮食控制基础上采用隔药饼灸治疗。治疗3个月后,观察两组治疗前后肾功能[肌酐(Scr)及尿素氮(BUN)]、超敏C反应蛋白(hs-CRP)、细胞白介素6(IL-6)、肿瘤坏死因子(TNF-?)的变化情况,并比较两组临床疗效。结果治疗组总有效率和显效率分别为87.5%和40.0%,对照组分别为47.5%和15.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组治疗后各项指标(Scr、BUN、hs-CRP、IL-6及TNF-?)与同组治疗前比较,差异均具有统计学意义(P<0.05)。两组治疗后各项指标比较,差异均具有统计学意义(P<0.05)。结论隔药饼灸配合适当饮食控制是一种治疗慢性肾脏病的有效方法,能改善患者微炎症状态及肾功能,提高其生活质量,延缓病情进展。Objective To observe the clinical efficacy of herb-partitioned moxibustion in treating chronic kidney disease. Method Eighty patients with chronic kidney disease were randomized to observation and control groups, with 40 cases in each group. The control group was intervened by conventional medication plus alimentary control, while the treatment group was additionally given herb-partitioned moxibustion. After 3-month treatment, changes in the renal function [serum creatinine（Scr） and blood urea nitrogen（BUN）], hypersensitive C-reactive protein（hs-CRP）, interleukin-6（IL-6）, and tumor necrosis factor（TNF-？） in the two groups were observed, and the clinical efficacies of the two groups were compared. Result The total efficacy rate and the excellence rate were 87.5% and 40.0% in the treatment group, versus 47.5% and 15.0% in the control group, and the between-group differences were statistically significant（P〈0.05）. The indicators（Scr, BUN, hs-CRP, IL-6 and TNF-？） all showed a significant change after the treatment in the treatment groups（P〈0.05）. After the treatment, the indicators in the treatment group were significantly different from those in the control group（P〈0.05）. Conclusion Herb-partitioned moxibustion plus appropriate alimentary control is an effective method in treating chronic kidney disease. It can ameliorate the micro-inflammatory state and the renal function in the patients, improve their quality of life and delay the development of the disease.

关 键 词：针灸疗法 隔物灸 慢性肾脏病 微炎症 药饼灸疗法 

分 类 号：R246.1[医药卫生—针灸推拿学]