[1]路新强.中药保留灌肠联合序贯腹膜透析治疗儿童急性肾衰竭临床疗效观察[J].中医儿科杂志,2015,(04):58-60.
 LU Xinqiang.Clinical efficacy of TCM retention enema and sequential peritoneal dialysis on children with acute renal failure[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(04):58-60.
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中药保留灌肠联合序贯腹膜透析治疗儿童急性肾衰竭临床疗效观察()
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
期数:
2015年04期
页码:
58-60
栏目:
临床研究与报道
出版日期:
2015-07-25

文章信息/Info

Title:
Clinical efficacy of TCM retention enema and sequential peritoneal dialysis on children with acute renal failure
作者:
路新强
武威市人民医院肾内科, 甘肃 武威 733000
Author(s):
LU Xinqiang
Nephrology Department of People’s Hospital of Wuwei City, Wuwei, Gansu, 733000, China
关键词:
中药保留灌肠序贯腹膜透析儿童急性肾衰竭临床疗效
Keywords:
TCM retention enemasequential peritoneal dialysischildrenacute renal failureclinical efficacy
分类号:
R256.51
摘要:
目的 观察中药保留灌肠联合序贯腹膜透析治疗儿童急性肾衰竭的临床疗效。方法 将22例确诊为急性肾衰竭的患儿随机分为治疗组和对照组各11例,对照组予药物及对症治疗;治疗组在中药保留灌肠3 d后,予序贯腹膜透析治疗。结果 治疗组总有效率为90.91%,对照组为81.82%。2组总有效率比较差异有统计意义(P<0.05);治疗组尿量增多时间及血清肌酐(Scr)下降时间均短于对照组(P<0.05),症状缓解时间显著短于对照组(P<0.01)。结论 中药保留灌肠联合序贯腹膜透析治疗儿童急性肾衰竭效果良好,可有效缩短病程,提高生存质量及抢救成功率,值得临床推广。
Abstract:
Objective To investigate the clinical efficacy of TCM retention enema and sequential peritoneal dialysis on children with acute renal failure. Methods 22 cases of children diagnosed as acute renal failure were randomly divided into a treatment group and a control group, 11 cases each. Both groups were given symptomatic and supportive treatment. Based on it, the control group were treated with sequential peritoneal dialysis while the treatment group were treated with TCM retention enema for 3 days and then with sequential peritoneal dialysis. Results The total effective rate of the treatment group was 90.91% while that in the control group was 81.82%, the differences in two groups were statistically significant (P<0.05). The increase time of the urine output and the decay time of serum creatinine (Scr) and urea nitrogen in the treatment group were significantly shorter than those in the control group (P<0.05). The relief time of symptoms was significantly shorter than that in control group (P<0.01). Conclusion TCM retention enema and sequential peritoneal dialysis has good effect in the treatment of children with acute renal failure. It can effectively shorten the course and improve the quality of life and the salvage rate, worthy of clinical promotion.

参考文献/References:

[1] 孙锟,沈颖.小儿内科学[M].5版.北京:人民卫生出版社,2014:347.
[2] 邹和群.肾脏替代治疗的选择和准备[J].广东药学杂志,2003,2(11):591-592.
[3] 戴京章.实用中医肾病学[M].北京:人民卫生出版社,2002:293.
[4] 章圣泽,董芍芍,王牡丹,等.123例慢性肾脏病基础上急性肾衰竭临床分析[J].浙江临床医学,2009,11(17):682-684.
[5] 汪受传.中医儿科学[M].2版.北京:中国中医药出版社,2007:154.
[6] 裴正学.中西医结合实用内科学[M].兰州:甘肃科技出版社,1995:531.
[7] 金有豫.中国药学大辞典[M].北京:人民卫生出版社,2010:443.

备注/Memo

备注/Memo:
收稿日期:2015-4-10
作者简介:路新强(1973-),男,主治医师,医学学士,主要从事中西医结合肾脏病研究。
更新日期/Last Update: 1900-01-01