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Clinical observation on 30 Cases of urem ic pruritus treated with Jiawei Jiedu Huoxue Decoction |
WU Fu-xian |
Department of the Second Internal Medicine,Traditional Chinese Medicine Hospital of Xinyi City in Jiangsu Province, Xinyi 221400,China |
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Abstract ObjectiveTo explore the clinical effect of Jiawei Jiedu Huoxue decoction in the treatment of uremic pruritus.Methods60 cases of uremic pruritus in our blood purification room from January 2015 to April 2016 were selected and randomly divided into the treatment group and the control group,30 cases in each group.Ppatients of two groups were given hemodialysis 2 to 3 times/week,joint blood perfusion 1 time/week,and low-salt low-fat low-phosphorus high-quality and low-protein diet,correcting acidosis and anemia,calcium,phosphorus,control blood pressure and other basic treatment,on the basis of the above treatment control group was given oral cetirizine hydrochloride 10 mg/d,the treatment group were given oral Jiawei Jiedu Huoxue decoction,the therapeutic effect of two groupswere compared.ResultsThe total effective rate of the treatment group was 90.0%,which was higher than 70.0%of the control group,difference was statistical significant(P<0.05).Before and after treatment the itch level(VASscore)of two groupswere compared,the treatment group pruritus to reduce degree was better than that of control group,the difference was significant (P<0.05).ConclusionJiawei Jiedu Huoxue decoction is effective prescription in the treatment of uremic pruritus,it is worth further research and promote the use in the clinical practice.
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[1] |
刘瑞,赵静,柯昌云.尿毒症皮肤瘙痒的发病机制及中西医治疗[J].中国老年保健医学,2012,10(2):56-58.
|
[2] |
胡义阳,沈世忠,王捷.血液灌流串联血液透析对尿毒症皮肤痛痒的治疗价值评估[J].中国当代医药,2016,23(22):73-75.
|
[3] |
谭菲.40例血液灌流联合血液透析治疗尿毒症皮肤瘙痒患者的临床观察[J].吉林医学,2013,34(31):6508-6509.
|
[4] |
Hsu MC,Chen HW,Hwu YJ,et al.Effects of thermal therapy on uremic pruritus and biochemical parameters in patients having haemodialysis[J].JAdv Nurs,2009,659(11):2397-2408.
|
[5] |
谢春亮.加味四物汤治疗透析伴顽固性皮肤瘙痒患者48例疗效观察[J].湖南中医杂志,2016,32(6):12-14.
|
[6] |
Makhlough A,Emadi N,Sedighi O,et al.Relationship between serum intact parathyroid hormone and pruritus in hemodialysis patients[J].Iran JKidney Dis,2013,7(1):42-46.
|
[7] |
赵惠.开腠泄浊药浴法治疗尿毒症皮肤瘙痒的临床研究[D].南京:南京中医药大学,2011.
|
[8] |
钟剑,李靖,曹钋,等.血液灌流联合血液透析治疗尿毒症顽固性皮肤瘙痒不同证候间疗效的临床观察[J].世界中医药,2013,8(10):1183-1186.
|
[9] |
张云萍,薛小玲.维持性血液透析患者尿毒症性皮肤瘙痒的研究进展[J].护士进修杂志,2011,26(5):399-401.
|
[10] |
庄乙君,覃学,高海娥.不同透析方式治疗尿毒症皮肤瘙痒的疗效比较及对血清甲状旁腺素、β2微球蛋白水平的影响[J].中国老年学杂志,2014,34(4):934-936.
|
[11] |
王海燕.肾脏病学[M].3版.北京:人民卫生出版社,2009:1815-1816.
|
[12] |
马玲玲,张佩然,任可.针灸联合血液灌流治疗尿毒症皮肤瘙痒的临床研究[J].现代中医临床,2014,21(5):28-31.
|
[13] |
邢洁.尿毒症患者皮肤瘙痒症发病机制与治疗进展[J].浙江中西医结合杂志,2011,21(2):137-139.
|
[14] |
王彦,杨秀莉,王钰君.血液透析患者皮肤瘙痒相关因素分析[J].中国麻风皮肤病杂志,2012,28(2):84-87.
|
[15] |
喻文球,谈煜俊.中医皮肤病性病学[M].北京:中国医药科技出版社,2000:299-300.
|
[16] |
唐赛男.董志刚教授治疗尿毒症皮肤瘙痒的经验总结[D].沈阳:辽宁中医药大学,2012.
|
[17] |
何清湖.中医外科学[M].北京:高等教育出版社,2009:189-193.
|
[18] |
王彤,管竞环.中药治疗慢性肾衰蝎合并皮肤痰痒症的临床观察[J].中国中西医肾病杂志,2004,2(2):92-93.
|
|
|
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