Systematic Review Of Traditional Chinese Medicine Treatment On Maintenance Hemodialysis

For chronic renal failure early and mid-treatment, domestic to Integrative Medicine for the mainstream, traditional Chinese medicine advantage in this regard has also been widely recognized. But on the end stage renal failure, mostly hemodialysis. And because the popularity of hemodialysis for the removal of toxins, improve the effectiveness of the symptoms, the majority of Chinese medicine physicians to abandon the application at this stage but there are a number of physicians in medical intervention of hemodialysis done a lot of useful applications exploration. HD technology is the clinical treatment of the primary means of end-stage renal disease, in the international arena for over 40 years of clinical history. It is estimated that about 110 million people worldwide currently rely on hemodialysis and long-term survival. Reform and opening up 20 years As China's economic development and progress in medical and health work, hemodialysis technology has already been popular in China, China has now the total number of Maintenance Hemodialysis Patients close to 5 million people, two or more hospitals have been able to carry out the majority of hemodialysis technology, three medical institutions in the country, with more than 20 sets the size of dialysis machines has reached dozens of dialysis centers, and the formation of single-center dialysis more than 10,000 people in size. currently abroad to carry out the Juedaduoshuo dialysis modality were obtained in China applications are rapidly growing professional team of dialysis, hemodialysis technology is increasingly developing into our hospital comprehensive treatment of severe essential one.ObjectivesThe author tries to estimate the quality and methods of essays about traditional Chinese medicine(TCM) treatment on maintenance hemodialysis (MHD) which were published in domestic journals in the past ten years. Then the author analyzes the present conditions and the problems of the research methods about all the researches. Finally, the author tries to estimate these essays'degree of reliability and the clinical values, and guide some clinical treatment according to these proofs.Methods1. Firstly the author retrieves the essays about Chinese medicine treatment on MHD with the data base of CBM(2000-2009). The following are the key words for retrieval:Hemodialysis, Maintenance Hemodialysis, the treatment of theory of TCM and traditional Chinese drug, the treatment of traditional Chinese drug only and the treatmentof TcM only AND Year>=2005. Then another retrieval is carried out on essaysof the same contents on data base of TCMARS(2000-2009).2. The author selects the essays according to the rules of adoption and rejection.3. The author makes the "Estimating Table about Systematic Review of TCM onMaintenance Hemodialysis", then he tries to estimate every essay according tothe tables from the following aspects:The entirety conditions, the desire of the researches, the methods dealing with statistics and the induction of the conclusion.4. The author builds up the data base and manages all the data with the software Excel.Results1. On research methods:Firstly, the word "randomization" appears in every essay, but 127(96.2%) essays do not describe the detailed methods. None of them describes the concealedrandom assignment. Secondly,124(93.9%) essays haven't the description of blind method. Thirdly, only 3(2.2%) essays mention the follow-up visiting. Fourthly,31(23.5%)essays do not set up statistic methods before hand. Fifthly, only 15(11.4%)essays make the conclusions according to the results of treatment and only 25(18.9%)records can discuss the results with the representativeof the samples. And lastly,35(26.5 %)records do not mention the clinical and statistic significance of the results.2. On professional techniques:Professional research:13 articles of the traditional Chinese medicine for low blood pressure during hemodialysis appear interference,5 articles of the traditional Chinese medicine for the treatment of hemodialysis in the micro-inflammation, there are four documents discussed in hemodialysis Chinese Medicine for calcium and phosphorus metabolism and elevated parathyroid hormone treatment, there are five literature on traditional Chinese medicine for hemodialysis in immune regulation, there are two traditional Chinese medicine on hemodialysis on anemia intervention,11 of the Chinese medicine The effects of malnutrition, while 11 articles of the hemodialysis reduce the number of Chinese sausage, three studies appearing in traditional Chinese medicine treatment of hemodialysis hypertension, seven of the traditional Chinese medicine literature hemodialysis pruritus, four studies Chinese medicine can continue to protect the residual renal function in hemodialysis, and another four of the external application of Chinese medicine to protect hemodialysis arteriovenous fistula.ConclusionAs the estimating results of the essays show, some problems remain on both the research methods and the professional techniques. Thus knowledge about epidemiology and Evidence-based Medicine(EBM)should made popular to researches of the TCM Treatment on MHD SO as to improve the quality of essays in this field and have better guidance on clinical practice.