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机构地区:[1]杭州市中医院,310012
出 处:《浙江临床医学》2023年第2期202-203,206,共3页Zhejiang Clinical Medical Journal
摘 要:目的 观察中药穴位贴敷联合电磁波照射防治糖尿病患者冠状动脉介入术后造影剂肾病(CIN)的疗效.方法 收集2021年1月至10月行经皮冠状动脉介入治疗的糖尿病患者84例.按照随机数字表法分为观察组与对照组各42例.对照组采用常规治疗,观察组在此基础上予穴位贴敷联合电磁波理疗治疗.观察两组患者治疗前后中医肾病证候评分、血肌酐、血清尿素氮、内生肌酐清除率水平及造影剂肾病的发生情况.结果 术后第3天两组患者中医肾病证候评分较治疗前均降低,且观察组低于对照组(P<0.05).观察组术后第1、3天血肌酐、血清尿素氮、内生肌酐清除率水平均低于对照组,发生造影剂肾病患者少于对照组,术后第3天血肌酐水平差异有统计学意义(P<0.05).结论 中药穴位贴敷联合电磁波照射能缓解患者倦怠乏力、气短懒言、腰背酸痛等症状,改善患者血肌酐、血清尿素氮、内生肌酐清除率,在一定程度上有保护肾脏的作用.ObjectiveTo observe the clinical efficacy of Acupoint application of traditional Chinese medicine combined with electromagnetic wave irradiation in the prevention and treatment of contrast nephropathy in patients with diabetes after coronary intervention.Methods 84 patients with diabetes who underwent percutaneous coronary intervention in our hospital from January 2021 to October 2021 were collected.The patients were randomly divided into the intervention group(42 cases)and the control group(42 cases).The control group was treated with routine therapy,and the intervention group was treated with acupoint application combined with electromagnetic wave physiotherapy.The Traditional Chinese Medicine(TCM)nephrotic syndrome score,serum creatinine,serum urea nitrogen,endogenous creatinine clearance rate and the incidence of contrast nephropathy after intervention were observed before and after the treatment.Results On the third day after the operation,the score of TCM nephrotic syndrome in the two groups was lower than that before the treatment,and the score in the intervention group was lower than that in the control group(P<0.05).The clearance rates of serum creatinine,serum urea nitrogen and endogenous creatinine in the intervention group on the first and third days fer operation were lower than those in the control group,and the number of patients with contrast nephropathy was less than that in the control group.The difference in SCR level on the third day after operation was statistically significant(P<0.05).Conclusion Acupoint application of traditional Chinese medicine combined with electromagnetic wave irradiation can alleviate the symptoms of traditional Chinese medicine nephropathy,such as fatigue,shortness of breath,lackadaisical pain in the back,improve the clearance of serum creatinine,serum urea nitrogen and endogenous creatinine,and play a role in protecting the kidney to a certain extent.
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