| Along with the progress of medical and health ,medical measures are not only aimed at improving the number of the survival of patients (survival time, the survival rate, etc.), but they should focus on improving the quality of life and enhance human physical and mental health. Hemodialysis (HD) is one important renal replacement therapy to patients in the end-stage renal failure, and now a large number of uremic patients are still relying on life-sustaining dialysis treatments. Although blood purification made substantial progress, and there has been a lot of new technology and methods, so that dialysis patients have made great progress in patient survival time and quality,。But there are still many problems to be solved to advance the quality of life (QOL). In dialysis, how to improve immune function and reduce infections, how to preserve the residual renal function, and how to reduce dialysis complications and enhance the patient's treatment, etc. Chinese medicine has some advantages, it is productive. We should outstanding Chinese medicine characteristics in the blood purification. A combination of traditional Chinese medicine and western medicine to blood purification in our hospital is different from the other hospitals, and that will benefit the dialysis patients and improve the quality and level of life. But It is necessary to fully understand the dialysis patients'Syndrome in Chinese medicine in dialysis intervention, and must be established in line with modern evaluation system. If evaluated the effect of Chinese medicine by the quality of life, the evaluation of Chinese medicine will be more scientific and credible, and it will be easy to spread. But the current research in this area has been minimal, and needs to be strengthened.1. Literature study:Through viewed with maintenance hemodialysis patients with Chinese medicine treatment, maintenance hemodialysis patients with quality of life literature, in the quality of life in Chinese medicine research in the application of the Chronic Renal Failure Syndrome research literature, that in the maintenance of Chinese medicine Hemodialysis patients with a large space for development has been widely used quality of life and clinical evaluation of the efficacy, maintenance hemodialysis patients quality of life generally score lower in the overall concept of medical and Differential Treatment with the connotation of quality of life there are similarities, Chinese medicine treatment in improving the quality of life of patients has advantages; Syndrome present on the main direction is the standardization of Chinese medicine syndromes, objective and quantitative, and Differential Treatment of traditional Chinese medicine with quality of life from each other, and promote modern scientific Chinese medicine.2.clinical research:2.1 General information: 102 cases of HD patients, 36 cases of male, female 66 cases. Aged 16-85 years, with an average age of 59.91 years (SD士9.69). Education: Primary or below 34, 42 secondary schools, 11 secondary specialized schools, universities 15. Dialysis period: 3, the shortest and the longest 18 years, an average of 4.7 years (SD士3.22). Mainly due to the incidence of chronic glomerulonephritis is 31 cases, accounting for 30.39 percent. This was followed by 28 cases of diabetes, accounting for 27.4 percent; 21 cases of chronic interstitial nephritis, or 20.58 percent, seven cases of hypertension 6.86 percent, the other 15 cases accounted for 14.7%Hemoglobin values :6.60-15.20 g / dl, with an average 99.82 g / l (SD士18.99). Dialysis adequacy (Kt / V): 1.01-1.8 average 1.45 (SD士0.35). 2.2 Objects and Methods: The study of 102 cases through the maintenance hemodialysis patients with Syndrome Evaluation of quality of life (Universal Scale - SF-36, for chronic kidney disease Scale - KDQOL-SFTM 1.3), the TCM compared Syndrome Differentiation and the factors (of symptoms) and the quality of life and its various items, the correlation between the various dimensions of the patients on maintenance hemodialysis Syndrome Evaluation of quality of life and the inherent links, the evaluation of two complementary and compatible with the extent feasible the degree of Syndrome Evaluation System and the quality of life in general international scale convergence and the feasibility of the problems for the future development of TCM Differential Treatment thinking can meet international standards and the efficacy of Chinese medicine in hemodialysis patients functional evaluation system lay the foundation.2.3 Results:2.3.1 HD quality of life of patients2.3.1.1 HD patients in the Dimension Scale scoresAffected by several factors were 19.20±7.64 (sexual function) to 84.71±17.73 (medical staff to encourage) the range of factors affecting the majority of the relatively low percentage, only the encouragement of medical, cognitive function, social relations and the quality of patient satisfaction the higher the percentage of degree, and sexual function and self-health and secondary, nephropathy lower the percentage of the burden. Stating that patients on their own lack of confidence, personal burden heavier.2.3.1.2 Different gender impact on the quality of life studyIn terms of gender, quality of life scores, on the daily lives of the affected kidney, kidney disease burden, sexual function, the overall health of all the expectations of men and women to lower scores, but in addition to satisfaction of patients, physiological functions, beyond comparison with the past women lower than men. Statistically with physical pain, physical function which two are statistically significant (p <0.05).2.3.1.3 The different age groups on the impact of quality of life Of different ages on the impact of quality of life, the majority of the middle-aged group scored higher, but most of the non-statistical significance only in the working conditions, sexual function, the patient satisfaction, the difference between physiological function of p <0.05.2.3.1.4Different dialysis of the survival quality of life impact study Different life on dialysis quality of life, most no difference in symptoms, social support, general health expectations, vitality, body pain differentiated.2.3.1.5 Different from the primary disease on the quality of life impact study Different primary disease on the quality of life, health care workers are encouraged difference.2.3.1.6 Different hemoglobin levels on the quality of life impact study Different hemoglobin level did not affect the quality of life.2.3.1.7 Different albumin level on the quality of life impact study Albumin levels on the different quality of life more influence in the quality of life scores, on the daily lives of the affected kidney, cognitive function, social function, mental health, general health expectations and compared with the past there was significant difference in meaningful.2.3.1.8 Different KT / V value on the quality of life, there was no significant difference.2.3.2 Maintenance hemodialysis patients Syndrome Study:2.3.2.1 Maintenance hemodialysis patients are in Qiyinliangxu Syndrome-deficiency, spleen and kidney Qi. Empirical type of evil, wet muddy, pneumatic, blood stasis, hot and humid most common. Most of the evidence of the strength of inclusion, who are mainly imaginary.2.3.2.2 Syndrome stratified study, the incidence of different levels and different albumin Syndrome Distribution differences were statistically significant.2.3.2.3 TCM and the quality of life, is the deficiency ranging impact on the quality of life of no statistical significance, empirical evil, blood stasis on the quality of life have a greater impact; evil is mainly to the quality of life of patients is significantly lower than virtual mainly to the quality of life of patients, the difference is statistically significant. 2.4 Conclusion: Guang'An Men hospital HD overall quality of life in patients with significantly lower levels of different albumin level on the impact of quality of life impact more. Maintenance hemodialysis patients are in Qiyinliangxu Syndrome-deficiency, spleen and kidney Qi. Empirical type of evil, wet muddy, pneumatic, blood stasis, hot and humid most common. Most of the evidence of the strength of inclusion, who are mainly imaginary. Syndromes stratified study, the incidence of different levels and different albumin Syndrome Distribution differences were statistically significant. TCM and the quality of life, is the deficiency ranging impact on the quality of life of no statistical significance, empirical evil, blood stasis on the quality of life have a greater impact; evil is mainly to the quality of life of patients significantly low Virtual is based on the quality of life of patients, the difference is statistically significant. |
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