|
|
Clinical effect of Qufeng Decoction on patients with maintenance hemodialysis skin pruritus |
CHEN Jianqiang ZHENG Zerong WU Tangying |
Department of Blood Purification,the Second Hospital of Traditional Chinese Medicine of Zhanjiang City,Guangdong Province,Zhanjiang 524013,China |
|
|
Abstract Objective To investigate the effect of modified Qufeng Decoction on serum calcium(Ca)and serum phosphorus(P)in patients with pruritus on maintenance hemodialysis(MHD).Methods A total of 106 patients with MHD skin pruritus who were admitted to the Second Hospital of Traditional Chinese Medicine in Zhanjiang City,Guangdong Province from February 2020 to March 2021 were selected as the research subjects.They were divided into conventional group and traditional Chinese medicine treatment group by coin toss method,with 53 cases in each group.The conventional treatment group was treated with conventional treatment,and the traditional Chinese medicine treatment group was treated with Qufeng Decoction.Skin prurtication,Ca,P,iPTH blood indexes,tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-8(IL-8)inflammatory indexes were compared between the two groups.Results After treatment,the visual analogue scale(VAS)score of patients in traditional Chinese medicine treatment treatment group was lower than that in conventional group,and the difference was statistically significant(P<0.05).The Ca level in traditional Chinese medicine treatment treatment group was higher than that in conventional group,while the P and iPTH levels were lower than those in conventional group,the differences were statistically significant(P<0.05).The levels of TNF-α,IL-6 and IL-8 in traditional Chinese medicine treatment treatment group were lower than those in conventional group,the differences were statistically significant(P<0.05).Conclusion Qufeng Decoction treatment can inhibit the secretion of inflammatory factors,maintain the balance of blood calcium and phosphorus metabolism,and improve the symptoms of skin itching in MHD patients.
|
|
|
|
|
[1] |
张超,崔乐.润肤止痒汤联合沙利度胺治疗特发性老年瘙痒症疗效中医治疗[J].辽宁中医杂志,2019,46(2):301-303.
|
[2] |
王海烨,彭卫华.维持性血液透析皮肤瘙痒患者的中医证型及相关影响因素的初步探讨[J].中国中西医结合肾病杂志,2019,20(9):60-63.
|
[3] |
赵辩.中国临床皮肤病学[M].南京:江苏科学技术出版社,2010:1740-1750.
|
[4] |
李元文,李楠.皮肤瘙痒症中医治疗专家共识[J].中国中西医结合皮肤性病学杂志,2017,16(2):189-190.
|
[5] |
曹卉娟,邢建民,刘建平.视觉模拟评分法在症状类结局评价测量中的应用[J].中医杂志,2009,50(7):600-602.
|
[6] |
陈有维,盛凯翔,姚曦,等.成人维持性血液透析患者早期病死率及相关风险分析[J].中华内科杂志,2021,60(1):35-40.
|
[7] |
冯惠娟.买氏理血祛风膏对维持性血液透析皮肤瘙痒患者疗效及安全性研究[J].陕西中医,2019,40(6):753-756.
|
[8] |
伍冠一,黄香凝,梁坚强,等.皮肤瘙痒症证候类别与要素分析[J].辽宁中医杂志,2020,47(4):12-15.
|
[9] |
钱莉莉,鲍皓月,沈元丽,等.祛风汤加减治疗维持性血液透析皮肤瘙痒疗效及对患者肾功能、钙磷代谢的影响[J].陕西中医,2020,465(9):99-101.
|
[10] |
肖艳美,张文贤,董小伟,等.不同透析治疗对终末期肾衰竭伴皮肤瘙痒患者钙磷代谢和PTH 水平的影响[J].医学临床研究,2018,35(1):190-192.
|
[11] |
杨冉冉,刘新,姬蕾,等.鸡血藤质量控制及药理作用研究进展[J].环球中医药,2018,11(11):185-190.
|
[12] |
马天翔,顾志荣,孙岚萍,等.荆芥-防风药对治疗荨麻疹作用机制的网络药理学研究[J].中药新药与临床药理,2020,169(4):67-72.
|
[13] |
黄建,黄功华,刘新光.免疫炎症在皮肤创伤中的作用及研究进展[J].现代免疫学,2018,38(2):158-161.
|
[14] |
褚永生.复方甘草酸苷片联合他克莫司软膏治疗单纯性皮肤瘙痒症的效果观察[J].中国医药,2019,14(9):1402-1405.
|
[15] |
何文强.盐酸左西替利嗪片联合复方甘草酸苷片治疗皮炎湿疹的临床效果[J].中国当代医药,2021,28(8):151-153.
|
[16] |
何家俊.复方甘草酸苷联合依巴斯汀片治疗慢性荨麻疹的疗效[J].中国医药科学,2020,10(1):109-111.
|
[17] |
田斌,瞿孝兰,林义平,等.蛇床子化学成分及药理作用研究进展[J].中药与临床,2020,11(1):70-80.
|
[18] |
方丽丽,曾智辉,吴惠兰,等.复方苦参蛇床子止痒乳膏联合地奈德乳膏治疗肛周湿疹的疗效观察[J].中国医药科学,2022,12(2):62-65.
|
|
|
|