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肾衰冲剂对尿毒症毒素作用的临床研究

Clinical Study on Detoxifying Function of “Renal Failure Granules”in Uremia

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【作者】 郑平东何立群王琛朱燕俐高建东

【Author】 ZHENG Ping-dong,HE Li-qun,WANG Chen, ZHU Yan-li,GAO Jiao-dong Shu Guang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

【机构】 上海中医药大学附属曙光医院!上海200021

【摘要】 为研究中医药治疗尿毒症的疗效与机理 ,将 10 0例尿毒症患者分为 2组 :治疗 (A)组 60例 ,药用肾衰冲剂 (药物组成 :党参 15g、丹参 15g、炮附子 10g、仙灵脾 15g、黄连 5g、制大黄 15g、虫草菌丝 5g) ,每日 1剂 ,连服 3 0~ 60d ;对照(B)组 40例 ,药用包醛氧化淀粉 ,每日 2次 ,每次 10g ,疗程同上。结果 :治疗组临床症状、体征和肾功能明显改善 ;血尿素氮、肌酐、甲基胍、胍基琥珀酸、中分子物质、甲状旁腺素、血磷等有不同程度降低 ;血红蛋白、内生肌酐清除率、血钙等有不同程度提高 ,与治疗前相比有明显差异 ,与对照组比较也有较大差异 (P <0 0 5~ 0 0 1)。提示扶正泄浊并重的肾衰冲剂能有效地排除尿毒症毒素。

【Abstract】 In order to study the therapeutic effect and mechanism of Chinese medicine in the treatment of uremia,100 cases of uremia were divided into the two groups:60 cases in the treatment group(A),treated with“Renal Failure Granules”(herbal ingredients:Radix Codonopsis Pilosulae 15g,Radix Salviae Miltiorrhizae 15g,Radix Aconiti Praeparata 10g,Herba Epimedii 5g,Rhizoma Coptidis 5g,Radix Rhei 15g,Cordyceps hyphae 15g),one dose a day,for 30~60 days continuously,40 cases in the control group(B),treated with coated aldehyde oxystarch,twice a day,10g each time,same course as the above.The results showed the clinical symptoms,signs and renal functions were obviously improved in the treatment group,proved by decrease in urea nitrogen,creatinine,methylguanidine,guanidinosuccinic acid,medium molecular substance,parathyroid hormone and serum inorganic phosphorus in the different extent,and by enhancement in hemoglobin,endogenous creatinine clearance and blood calcium in the different extent,with a remarkable difference in comparison of before the treatments,and a bigger difference in comparison of the control group(P<005~001).The finding indicate that“Renal Failure Granules”to support the anti-pathogenic ability and expel the turbidity can effectively eliminate toxins in uremia.

【关键词】 尿毒症肾衰冲剂毒素肾功能
【Key words】 Uremia“Renal Failure Granules”toxinsrenal function
【基金】 国家中医药管理局科研基金资助项目! (95B0 3 1)
  • 【文献出处】 上海中医药大学学报 ,Acta Universitatis Traditionis Medicalis Sinensis Pharmacologiaeque Shanghai , 编辑部邮箱 ,2001年01期
  • 【分类号】R277.5
  • 【被引频次】19
  • 【下载频次】178
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