| Objective:To explore whether the method of invigorating the spleen and replenishing qi can improve the Spleen and Kidney Qi Deficiency Syndrome and gastrointestinal symptoms of peritoneal dialysis patients,and accumulate experience in the treatment of traditional Chinese medicine for peritoneal dialysis patients.Methods:A total of 64 continuous ambulatory peritoneal dialysis(CAPD)patients who met the inclusion criteria between August 1,2020 and October 31,2020 were selected and randomly divided into observation group and control group.The control group received conventional treatment,and the observation group was in On the basis of the control group,the decoction of Chinese medicine for strengthening the spleen and qi was used for observation for 12 weeks.Observe the changes in renal function,blood lipids,electrolytes,hemoglobin(Hb),albumin(ALB),C-reactive protein(CRP)and other laboratory indicators,as well as gastrointestinal symptom scores and TCM syndrome scores before and after treatment,and SPSS 21.0 is used.The software performs statistical analysis.Results:1.The two groups of patients have no significant differences in general information such as gender,age,dialysis age,and primary disease,and are comparable(P>0.05);there is no significant difference in baseline laboratory indicators,gastrointestinal symptoms scores,and TCM syndrome scores between the two groups,Comparable(P>0.05).2.Comparison of hemoglobin and albumin: After treatment,the hemoglobin of the observation group was significantly higher than before treatment(P<0.01);the hemoglobin of the control group had no significant change than before treatment(P>0.05);after treatment,compare the two groups There is a significant difference in the level of hemoglobin(P<0.05).There was no difference in albumin levels between the two groups after treatment than before treatment(P>0.05).3.Comparison of calcium and phosphorus metabolism: After treatment,the serum calcium of observation group and control group increased compared with before treatment,the difference was statistically significant(P<0.05);serum phosphorus did not decrease compared with before(P > 0.05),observe The calcium-phosphorus product of the group did not change significantly compared with before treatment(P>0.05),and the calcium-phosphorus product of the control group increased compared with that before treatment,and the difference was statistically significant(P<0.05).4.Comparison of C-reactive protein: After treatment,the CRP of the control group was higher than that before the treatment(P<0.05),and the CRP of the observation group did not change significantly(P>0.05).5.Comparison of gastrointestinal symptoms scores: After treatment,the gastrointestinal symptoms scores of the observation group and the control group were lower than before treatment,the difference was statistically significant(P < 0.05),and the gastrointestinal symptoms scores of the observation group were lower than those of the control group More significant,the difference is statistically significant(P<0.01).6.Comparison of traditional Chinese medicine: After treatment,the scores of TCM syndromes of the observation group and the control group were lower than before treatment(P<0.05);comparison between the groups,the total effective rate of treatment in the observation group was 88.89%,and the total effective rate of the control group was 56.67%.The score of TCM syndromes in the observation group decreased more significantly(P<0.05)Conclusion:1.In this study,the hemoglobin level of the observation group was significantly higher than that before treatment,and the calcium and phosphorus product of the control group was higher than that before treatment.The method of strengthening the spleen and qi can increase the hemoglobin level of CAPD patients and improve the anemia and abnormal calcium and phosphorus metabolism of patients.The reason may be improved by improving the digestive tract symptoms of CAPD patients,promoting the absorption of hematopoietic materials,improving the abnormal calcium and phosphorus metabolism,slowing down the progression of secondary hyperparathyroidism,and improving the micro-inflammatory state,affecting the activity of EPO and increasing the efficacy of r Hu EPO.To achieve the purpose of improving anemia.2.The method of strengthening the spleen and replenishing qi can improve the gastrointestinal symptoms and clinical symptoms of CAPD patients with deficiency of spleen and kidney qi,and improve the clinical treatment efficiency.3.During the treatment,the patient’s liver and kidney function,blood routine,electrolytes and other laboratory indicators did not show critical values,and the blood pressure was within the normal range,and there was no obvious adverse reaction,indicating that the medication is safe. |
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