Clinical Study on Integrated Chinese and Western Medicine Combined with Medical and Nursing Measures for IgA Nephropathy of Qi-Yin Deficiency Type
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摘要:
目的:观察采用中西医结合医护措施治疗气阴两虚型IgA 肾病患者的临床效果。方法:选取85 例IgA 肾病患者纳入研究,以随机数字表法分为观察组45 例和对照组40 例,2 组均予现代医学常规医护措施干预,观察组加用中医综合医护措施进行干预,干预周期均为4 周。干预前及干预4 周后检测肾功能、尿常规、免疫功能指标,了解患者对健康知识的掌握情况、护理依从性及对护理工作的满意度。比较2 组的临床疗效。结果:2 组经不同措施干预后,观察组临床疗效总有效率93.33%,对照组72.50%,组间比较,差异有统计学意义(P<0.05)。2 组血肌酐、24 h 尿蛋白定量及尿微量白蛋白/肌酐比值均较干预前降低(P<0.05),肾小球滤过率均较干预前升高(P<0.05);观察组血肌酐、24 h 尿蛋白定量及尿微量白蛋白/肌酐比值均低于对照组(P<0.05),肾小球滤过率高于对照组(P<0.05)。2 组CD4+水平、CD4+/CD8+值均较干预前降低,CD8+水平均较干预前升高(P<0.05);观察组CD4+水平、CD4+/CD8+值低于对照组(P<0.05),CD8+水平高于对照组(P<0.05)。观察组健康知识掌握评分、护理满意度评分及护理总依从率均高于对照组(P<0.05)。结论:针对IgA 肾病患者在现代医学常规医护措施基础上采取中医综合医护措施进行治疗,效果满意,有利于改善患者的肾功能,增强机体免疫功能,并能提高患者对健康知识的掌握程度、护理依从性及对护理工作的满意度。
Abstract:
Abstract:Objective:To observe the clinical effect of integrated Chinese and western medicine combined with medical and nursing measures for patients with IgA nephropathy of qi-yin deficiency type. Methods:A total of 85 cases of patients with IgA nephropathy were selected as the study objects,and were divided into the observation group and the control group according to the random number table method,45 and 40 cases in each group respectively. Both groups were intervened with routine treatment of modern medicine and symptomatic nursing measures,and the observation group was additionally given comprehensive medical and nusing measures of Chinese medicine. The period of both treatment and nursing was four weeks. Before intervention and after four-week intervention,the indexes of the kidney function,routine urine examination, and immune function were detected;patients' command of health knowledge,nursing compliance,and nursing satisfaction were studied. The clinical effect was compared between the two groups. Results:After various kinds of intervention,the total clinical effective rate was 93.33% in the observation group, and 72.50% in the control group, the difference being significant between the two groups(P<0.05). Levels of serum creatinine and 24- hour urine protein quantification as well as urinary albumin/creatinine ratio in the two groups were decreased when compared with those before intervention(P<0.05), and glomerular filtration rate was increased when compared with that before intervention(P<0.05). Levels of serum creatinine and 24- hour urine protein quantification as well as urinary albumin/creatinine ratio in the observation group were lower than those in the control group(P<0.05),and glomerular filtration rate was higher than that in the control(P<0.05). Levels of CD4+ and CD4+/CD8+ in the two groups were decreased when compared with those before intervention(P<0.05),and level of CD8+ was increased when compared with that before intervention(P<0.05). Levels of CD4+ and CD4+/CD8+ in the observation group were lower than those in the control group(P<0.05),and level of CD8+ was higher than that in the control(P<0.05). Scores of command of health knowledge and nursing satisfaction in the observation group were higher than those in the control group, and the total rate of nursing compliance was higher than that in the control group(P<0.05). Conclusion: Comprehensive medical and nursing measures of Chinese medicine based on routine medical and nursing measures of modern medicine has a satisfactory curative effect on patients with IgA nephropathy,which conduces to improving the kidney function,enhancing immune function of body, and increase degree of command of health knowledge, nursing compliance, and nursing satisfaction.