Clinical Observation On CKD 2-4 Stage Of Chronic Kidney Disease Treated By Jianpi Xiezhuo Detoxification Prescription And Retention Enema

Objective: This article through to the spleen discharge turbid retention enema colon detoxification party for treatment of chronic kidney disease(CKD)CKD2-4 period of the patient's clinical curative effect observation,to explore the treatment of chronic kidney disease(CKD)CKD2-4 phase mechanism,to ease the patients' clinical symptoms,delay the progress of renal function and improve patient quality of life.Method: Will conform to the diagnostic criteria of western medicine to chronic kidney disease(CKD)CKD2-4 period of 60 patients were randomly divided into treatment group 30 cases and control group 30 cases,the treatment group(treatment group on the basis of conventional western medicine therapy for invigorating spleen drain turbidity detoxification and subtract retention enema colon,the control group on the basis of conventional western medicine treatment to package aldehyde oxide starch capsule orally is given priority to,western medicine routine treatment,given low salt low fat,low protein quality,low phosphorus diet,ensure enough quantity of heat,protein intake,general control in 0.6 ~ 0.8 g kg 1,d-1;Control of blood pressure: choose appropriate antihypertensive agents,adhere to the smooth step-down,to control the blood pressure 90-140/60-90 MMHG;Correcting water,electrolyte and acid-base imbalance,correction of anemia,etc.,avoid using drug toxic to the kidneys.Total treatment for 6 weeks,observe two groups before and after treatment respectively before and after treatment of uric acid(UA),serum creatinine(Scr),endogenous muscle drunk clearance(Cor),hemoglobin(Hb),serum albumin(propagated),triglycerides(TG),24 h urine protein quantitative experiment indexes such as change,at the same time,the change of clinical symptoms were observed.Results: Spleen drain turbidity detoxification and subtract colon retention enema group and package aldehyde oxide starch capsule groups were no statistical difference of the two groups before treatment.Two groups of clinical curative effect and clinical symptoms before and after treatment,the traditional Chinese medicine enema group total effective rate was 90%,and the package of aldehyde oxide starch capsule group total effective rate was 86.7%,total effective rate in two groups showed that both treatments are effective,but the comparison between the two way package is obviously better than the traditional Chinese medicine enema group aldehyde oxide starch capsule group,the difference was statistically significant(p < 0.05);Two groups in the improvement of uric acid(UA),serum creatinine(Scr),endogenous muscular clearance(Cor),hemoglobin(Hb),serum albumin(propagated),traditional Chinese medicine enema group is better than the package of aldehyde oxide starch capsule group(p < 0.05);From the previous two groups of TCM syndrome integral aspects are falling,the traditional Chinese medicine enema group and package way aldehyde oxide starch capsule contrast between the treatment group was superior to control group,the difference was statistically significant(p < 0.01).Conclusions: The spleen drain turbidity detoxification party add and subtract the colon retention enema with package aldehyde oxide starch capsule group to a certain extent can improve clinical symptoms in patients with chronic kidney disease(CKD)CKD2-4 period,reduce the UA,BUN and other indicators,but the comparison between the two groups showed package is obviously better than the traditional Chinese medicine enema group aldehyde oxide starch capsule group,for patients with chronic kidney disease(CKD)CKD2-4 curative effect is distinct,less side effects,low cost and is worth further promotion and application.