中医食疗联合常规疗法干预非卧床性维持性血液透析营养不良临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R277.5;R247.1

基金项目:


Clinical Study on Chinese Medicine Diet Therapy Combined with Routine Therapy for Malnutrition Patients Undergoing Non-Bedridden Maintenance Hemodialysis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察在现代医学常规治疗和护理的基础上加用中医食疗改善非卧床性维持性血液透析患者营养不良的效果。方法:选取114 例符合要求的患者随机分为对照组56 例和观察组58 例。2 组均予维持性血液透析,并给予饮食护理指导。观察组加予中医食疗指导。2 组疗程均为3 个月。治疗前、治疗3 个月后评定主观全面营养评定法(SGA) 评分、肾脏疾病生活质量简表(KDQOL-SF) 评分及脾气虚证积分,检测血红蛋白(Hb)、白蛋白(Alb)、前白蛋白(PA) 及转铁蛋白(TRF),测量肱三头肌皮褶厚度(TSF) 和上臂肌围(AMC)。结果:2 组SGA 评分、KDQOL-SF 评分均较治疗前升高(P<0.01),脾气虚证积分均较治疗前下降(P<0.01);观察组SGA 评分、KDQOL-SF 评分均高于对照组(P<0.01),脾气虚证积分低于对照组(P<0.01)。2 组Hb、Alb、PA 及TRF 水平均较治疗前升高(P<0.01);观察组Hb、Alb、PA 及TRF 水平均高于对照组(P<0.01)。2 组TSF 及AMC 均较治疗前增加(P<0.01),观察组TSF、AMC 值均高于对照组(P<0.01)。结论:在现代医学常规治疗和护理的基础上加用中医食疗干预维持性血液透析营养不良患者,可有效改善营养情况、缓解脾气虚证相关症状,提高患者的生活质量。

    Abstract:

    Abstract: Objective: To observe the effect of Chinese medicine diet therapy on improving malnutrition in patients undergoing non- bedridden maintenance hemodialysis on the basis of routine treatment and nursing of modern medicine. Methods:A total of 114 cases of patients who met the requirements were randomly divided into the control group and the observation group, 56 and 58 cases in each group respectively. Both groups were given maintenance hemodialysis and dietary nursing guidance, and the observation group was additionally given Chinese medicine diet guidance. Both groups were treated for three months. Before treatment and after three- month treatment, the scores of Subjective Global Assessment(SGA),Kidney Disease Quality of Life-Short Form(KDQOL-SF) and spleen qi deficiency syndrome were assessed; hemoglobin(Hb),albumin(Alb),prealbumin(PA) and transferrin(TRF) were detected;triceps skin fold thickness(TSF) and arm muscle circumference(AMC) were measured. Results:The scores of SGA and KDQOL-SF in the two groups were increased when compared with those before treatment(P<0.01),and the scores of spleen qi deficiency syndrome were decreased(P< 0.01);the scores of SGA and KDQOL-SF in the observation group were higher than those in the control group(P<0.01),and the score of spleen qi deficiency syndrome was lower(P<0.01).The levels of Hb,Alb,PA and TRF in the two groups were increased when compared with those before treatment(P<0.01); the levels of Hb, Alb, PA and TRF in the observation group were higher than those in the control group(P<0.01). TSF and AMC in the two groups were increased when compared with those before treatment(P<0.01),the above two indexes in the observation group were higher than those in the control group(P<0.01). Conclusion: Based on routine treatment and nursing of modern medicine, the intervention of Chinese medicine diet therapy for patients with maintenance hemodialysis malnutrition can effectively improve the nutrition,relieve the symptoms related to spleen qi deficiency syndrome,and enhance their quality of life.

    参考文献
    相似文献
    引证文献
引用本文

徐春兰.中医食疗联合常规疗法干预非卧床性维持性血液透析营养不良临床研究[J].新中医,2021,53(12):185-188

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2021-06-23
  • 出版日期: