首页|期刊导航|中国医学创新|腹膜透析联合尿毒清颗粒保留灌肠治疗尿毒症患者的临床效果

腹膜透析联合尿毒清颗粒保留灌肠治疗尿毒症患者的临床效果OA

Clinical Effect of Peritoneal Dialysis Combined with Retention Enema Treatment with Niaoduqing Granules in Uremic Patients

中文摘要英文摘要

目的:探究腹膜透析联合尿毒清颗粒保留灌肠治疗尿毒症患者的临床效果.方法:将吉安市中心人民医院 2022 年 1 月—2025 年 1 月收治的 80 例尿毒症患者按随机数字表法分为对照组和观察组,各 40 例.观察组在常规腹膜透析治疗的基础上联合尿毒清颗粒进行保留灌肠治疗,对照组在常规腹膜透析治疗的基础上用生理盐水进行灌肠治疗,两组均连续治疗 30 d.比较两组的疗效、24 h 尿量(24 h UV)、尿素清除指数(Kt/V)、残余肾功能(RRF)、IL-6、TNF-α、hs-CRP 水平;记录并比较两组治疗期间不良反应发生率.结果:观察组总有效率高于对照组(P<0.05);治疗后,两组 24 h UV、RRF、IL-6、TNF-α、hs-CRP水平均较治疗前降低,观察组优于对照组,而两组 Kt/V 均较治疗前升高,且观察组高于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:腹膜透析联合尿毒清颗粒保留灌肠治疗尿毒症患者的效果显著,能有效维持尿毒症患者RRF,降低炎症反应.

Objective:To explore the clinical effect of peritoneal dialysis combined with retention enema treatment with Niaoduqing Granules in the treatment of uremic patients.Method:A total of 80 uremic patients admitted to Ji'an Central People's Hospital from January 2022 to January 2025 were divided into control group and observation group according to the random number table method,with 40 cases in each group.The observation group was treated with retention enema in combination with Niaoduqing Granules on the basis of conventional peritoneal dialysis treatment,while the control group was treated with normal saline enema on the basis of conventional peritoneal dialysis treatment.Both groups were treated continuously for 30 days.The therapeutic effects,24-hour urine volume(24 h UV),urea clearance index(Kt/V),residual renal function(RRF),IL-6,TNF-α,and hs-CRP levels between the two groups were compared.The incidence of adverse reactions during the treatment period between the two groups were recorded and compared.Result:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the levels of 24 h UV,RRF,IL-6,TNF-α and hs-CRP in both groups were lower than those before treatment,and those in the observation group were better than those in the control group;however,Kt/V in both groups were higher than those before treatment,and that in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The effect of peritoneal dialysis combined with retention enema with Niaoduqing Granules in the treatment of uremic patients is remarkable.It can effectively maintain the residual renal function of uremic patients and reduce inflammatory responses.

王琼爱;解长飞;刘玫梅

吉安市中心人民医院肾内科 江西 吉安 343000吉安市中心人民医院肾内科 江西 吉安 343000吉安市中心人民医院肾内科 江西 吉安 343000

医药卫生

尿毒症腹膜透析尿毒清颗粒保留灌肠治疗残余肾功能

UremiaPeritoneal dialysisNiaoduqing GranulesRetention enema treatmentResidual renal function

《中国医学创新》 2026 (22)

60-64,5

10.3969/j.issn.1674-4985.2026.22.013

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