Kawm Txog TCM Kev Kho Mob Ntawm Lub Raum Tsis Zoo Ⅱ
Dec 30, 2022
2 Kev tshwm sim
2.1 Kev sib piv ntawm kev kho mob tshwm sim ntawm ob pawg neeg mob Tag nrho cov chaw kho mob
Tag nrho cov txiaj ntsig ntawm kev kho mob tau zoo yog {{0}}.67 feem pua (26/30), uas yog siab dua li ntawm pawg tswj hwm [70.00 feem pua (21/30)] (H2=15.482, P＜0.05). Saib Table 2. table 2 Kev sib piv ntawm kev kho mob los ntawm ob pawg neeg mob [n (%)
2.2 Kev sib piv ntawm lub raum ua haujlwm indexes ntawm ob pawg neeg mob
Cov txiaj ntsig endogenous creatinine tshem tawm yog (41.12 ± 5.84) mL / min thiab (46.72 ± 5.32) mL / min, thiab cov ntshav creatinine yog (210.82 ± 17.64) μmol / L thiab (195.46 ± 19.59 mL / min) thiab tom qab kev kho mob pawg soj ntsuam, feem.
Qhov endogenous creatinine tshem tawm tus nqi siab dua thiab cov ntshav creatinine qis dua hauv pawg soj ntsuam dua ua ntej kev kho mob (t=7.834, 13.560, P<0.05). The endogenous creatinine clearance rate was (41.18 ± 5.93) mL/min, (43.51 ± 5.64) mL/min, and blood creatinine was (211.10 ± 18.30) μ mol/L, (202.71 ± 18.94) μ mol/L, and (211.10 ± 18.30) μ mol/L, respectively, before and after treatment in the control group with mob raum tsis ua haujlwm.
(202.71 ± 18.94) μmol / L, thiab endogenous creatinine tom qab kev kho mob hauv pawg tswj Kev tshem tawm ntawm endogenous creatinine hauv pawg tswj tau siab dua li ua ntej kev kho mob, thiab cov ntshav creatinine qis dua ua ntej kev kho mob (t{{4}). 127, 10.841, ib<0.05). (t=5.127, 10.841, P<0.05); in the observation group, the endogenous creatinine clearance rate was higher than that before treatment and the blood creatinine was lower than that before treatment. The endogenous creatinine clearance rate was higher than that of the control group and the blood creatinine was lower than that of the control group (t=6.439, 10.841, P<0.05). (t=6.439, 9.725, P＜0.05).
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2.3 Kev sib piv ntawm cov ntshav muaj feem cuam tshuam ntawm ob pawg
Cov ntshav 2 microglobulin yog (8.62 ± 2.47) ug / m ua ntej thiab tom qab kev kho mob hauv cov neeg mobmob raum tsis ua haujlwm, raws. (2.47) ug/mL, (7.19 ± 1.43) ug/mL, cystatin C (4.79 ± 1.56) mg/L thiab (3.68 ±{12}}.84) mg/L, feem. Tom qab kev kho mob, cov serum 2 microglobulin thiab cystatin C serum ntsig txog qhov ntsuas tau qis dua li ua ntej kho. tau qis dua cov ua ntej kev kho mob, thiab qhov sib txawv yog qhov tseem ceeb (t=6.732, 6.420, thiab P <0.05); Hauv pab pawg tswj hwm, cov ntshav 2 microglobulin thiab cystatin C cov tshuaj tiv thaiv kab mob tau qis dua ua ntej thiab tom qab kev kho mob hauv cov neeg mob.mob raum tsis ua haujlwm. Hauv pawg tswj hwm, ntshav 2 microglobulin yog (8.63 ± 2.45) ug / mL, (7.70 ± 1.89) ug / mL ua ntej thiab tom qab kev kho mob, feem. 1.89) ug/mL thiab cystatin C yog (4.83 ± 1.59) mg/L thiab (4.46 ± 1.23) mg/L, feem.
(4.46 ± 1.23) mg/L, ntshav 2 microglobulin thiab cystatin C cov ntshav muaj feem cuam tshuam nrog qis qis hauv pawg tswj hwm tom qab kev kho mob dua li ua ntej kev kho mob, thiab qhov sib txawv yog qhov tseem ceeb (t=5.127, 4.269, P<0.05); serum β2 microglobulin and cystatin C serum related indexes were lower in the observation group with mob raum tsis ua haujlwmtshaj li ntawm pawg tswj xyuas tom qab kev kho mob, thiab qhov sib txawv yog qhov tseem ceeb (t{{0}}}.835, 5.257, P < 0.05).5.257, P < 0.05).
2.4 Kev sib piv cov qhab nia ntawm cov tsos mob ntawm ob pawg Pab pawg soj ntsuam ntawm cov neeg mob raum mob
Ua ntej thiab tom qab kev kho mob, cov qhab nia ntawm cov neeg mob nrogmob raum tsis ua haujlwmnyob rau hauv pawg soj ntsuam yog (2.41±{2}}.82) thiab (0.32±0.{{1{12}}}}7) rau nraub qaum thiab hauv caug tsis muaj zog, (2.52±{14}}.73) thiab (0.26±{20}}.10) rau nkees, thiab (2.60±0.66) thiab (0.37±0.05) rau tsis muaj zaub mov thiab loog, feem. Hauv pab pawg soj ntsuam, cov tsos mob ntawm cov qhab nia ntawmmob raum tsis ua haujlwmcov neeg mob tau qis dua cov ua ntej kev kho mob, thiab qhov sib txawv ntawm qhov tseem ceeb (t=5.632, 5.584, 5.971, P<0.05); in the control group, the scores of mob raum tsis ua haujlwmCov neeg mob ua ntej thiab tom qab kev kho mob yog (2.36±{2}}.74) thiab (0.68±0.26) rau nraub qaum thiab hauv caug tsis muaj zog, (2.53±{{1{12} }}}}.79) thiab (0.74±{16}}.35) rau qaug zog thiab qaug zog, feem. (0.74±0.35), thiab cov qhab nia ntawm cov zaub mov thiab qaug zog yog (2.53±{24}}.79) thiab (0.74±{{3 0}}.35), raws. (2.57±{34}}.63), (0.70±0.22), thiab (2.57±0.63), raws li. Hauv pab pawg tswj hwm, cov neeg mob lub raum tsis ua haujlwm tau txais cov tsos mob qis dua li pawg tswj hwm tom qab kev kho mob, suav nrog kev qaug zog ntawm lub duav thiab lub hauv caug, nkees thiab qaug zog, thiab cov qhab nia kho mob ntawmmob raum tsis ua haujlwmCov neeg mob hauv pawg tswj hwm qis dua cov ua ntej kev kho mob, thiab qhov sib txawv yog qhov tseem ceeb (t=4.8). Qhov txawv yog qhov tseem ceeb (t=4.873, 4.932, 4.753, P<0.05); in the observation group The clinical symptom scores of chronic renal failure patients were lower than those of the control group after treatment.
Cov qhab nia ntawm cov tsos mob ntawm nadir tau qis dua li ntawm pawg tswj hwm, thiab qhov sib txawv ntawm qhov tseem ceeb (t{0}}.158, 4.202, 4.138, P＜0.05).
2.5 Kev sib piv ntawm suav tshuaj pov thawj cov ntsiab lus ntawm ob pawg neeg mob
TCM pov thawj cov ntsiab lus ntawm cov neeg mob nrogmob raum tsis ua haujlwmnyob rau hauv pawg soj ntsuam yog (18.70 ± 2.94) thiab (9.42 ± 1.55) ua ntej thiab tom qab kev kho mob, feem, thiab cov neeg mob uas muajmob raum tsis ua haujlwmnyob rau hauv pawg tswj yog (18.53 ± 2.85) thiab (15.79 ± 2.18) ua ntej thiab tom qab kev kho mob, feem. TCM pov thawj cov ntsiab lus ntawmmob raum tsis ua haujlwmCov neeg mob tom qab kev kho mob qis dua cov neeg ua ntej kev kho mob, thiab cov neeg mob lub raum tsis ua haujlwm nyob rau hauv pab pawg soj ntsuam tau qis dua cov hauv pawg tswj hwm tom qab kev kho mob, thiab qhov sib txawv ntawm cov ntaub ntawv tseem ceeb (t=10.340, 5.881, 7, 953,ib<0.05).
2.6 Kev sib piv ntawm cov neeg mob txaus siab hauv ob pawg
Tag nrho cov kev txaus siab ntawm cov neeg mob nyob rau hauv pawg soj ntsuam degree yog 93.33 feem pua (28/30), uas yog loj dua li ntawm pawg tswj [66.67 feem pua (20/30)] (χ 2=27 .431, P <0.05). Saib Table 3.
2.7 Kev sib piv ntawm cov kev tsis zoo tshwm sim ntawm ob pawg Qhov tshwm sim tag nrho ntawm qhov tshwm sim tsis zoo hauv cov neeg mob soj ntsuam yog 0.00 feem pua . Tag nrho qhov tshwm sim ntawm qhov tshwm sim tsis zoo nyob rau hauv cov neeg mob soj ntsuam yog 0.00 feem pua , thiab tag nrho cov xwm txheej tsis zoo hauv pawg tswj hwm yog 23.33 feem pua. 23.33 feem pua , qhov sib txawv yog qhov tseem ceeb. (χ 2 Qhov sib txawv yog qhov tseem ceeb (χ 2=27.431, P < 0.05)). Saib Table 4.
Rooj 4
3 Kev sib tham
Hauv daim ntawv no, peb muabmob raum tsis ua haujlwmua piv txwv thiab siv cov kev kho mob sab hnub poob thiab cov kev kho mob hauv Suav teb, los sib piv seb puas siv cov tshuaj suav tshuaj kho mob tuaj yeem txhim kho qhov ntsuas ntawm lub raum ua haujlwm ntawm cov neeg mob. Cov neeg mob cov kev phiv tsis zoo, los txiav txim seb puas kho TCM Txoj kev tshawb no tau ua los ntawm kev xav txog kev nyab xeeb. Nyob rau hauv txoj kev tshawb no, los ntawm kev xav txog kev nyab xeeb kev kho mob Txoj kev tshawb no xaiv TCM kev kho mob raumob raum tsis ua haujlwmcov neeg mob los ntawm qhov kev xav ntawm kev kho kev nyab xeeb. Cov kws kho mob indexes ntawm cov neeg mob kho nrog Western tshuaj thiab Suav tshuaj tau muab piv. Cov txiaj ntsig tau pom tias cov tshuaj suav suav tau zoo tshaj plaws rau kev kho mob raum tsis ua haujlwm. Cov txiaj ntsig tau pom tias cov txiaj ntsig ntawm TCM txoj kev kho mob tseem ceeb. Cov txiaj ntsig tau pom tias cov txiaj ntsig ntawm kev kho TCM yog qhov tseem ceeb, thiab nws pom tseeb tias txoj kev tshawb no muaj qhov tseem ceeb, thiab kev kho TCM muaj txiaj ntsig zoo rau cov neeg mob lub raum tsis ua haujlwm.
Cov txiaj ntsig tau pom tias cov txiaj ntsig ntawm kev kho TCM yog qhov tseem ceeb, thiab txoj kev tshawb fawb muaj qhov tseem ceeb, thiab kev kho TCM muaj txiaj ntsig zoo rau cov neeg mob.mob raum tsis ua haujlwm. Txawm li cas los xij, muaj cov ntaub ntawv hauv cov ntaub ntawv hais txog qhov cuam tshuam ntawm kev sib xyaw Suav thiab Western tshuaj raumob raum tsis ua haujlwmcov neeg mob. Txawm li cas los xij, qee cov ntaub ntawv tau siv kev sib xyaw ua ke ntawm Western thiab Suav tshuaj los kho cov neeg mob lub raum tsis ua haujlwm nyob rau hauv ib leeg, ua ke Cov kev soj ntsuam indexes, kho cov teebmeem thiab cov teebmeem ntawm kev mob.mob raum tsis ua haujlwmCov neeg mob kho nrog Western tshuaj ib leeg, ua ke nrog Suav tshuaj los yog thiab cov kev phiv tshwm sim nyob rau hauv cov neeg mob uas mob raum tsis ua hauj lwm nyob rau hauv ib leeg, ua ke Western tshuaj los yog suav tshuaj kho mob, thiab kev kho mob lub tswv yim tseem ceeb dua piv nrog rau daim ntawv no. Yog li ntawd, muaj ib co shortcomings nyob rau hauv txoj kev tshawb no.
Cov txiaj ntsig ntawm txoj kev tshawb no pom tau tias tom qab kev kho mob, qhov endogenouscreatinine tshem tawm, ntshav creatinine, Serum 2 microglobulin, thiabcystatin Ctau tag nrho zoo dua li cov pawg tswj hwm. Cov txiaj ntsig ntawm txoj kev tshawb fawb no tau pom tias qhov endogenous creatinine tshem tawm tus nqi, ntshav creatinine, ntshav 2 microglobulin thiab cystatin C hauv pawg soj ntsuam tau zoo dua li cov hauv pawg tswj hwm. Cov neeg mob 'endogenous creatinine clearance rate, ntshav creatinine, ntshav 2 microglobulin thiab cystatin C tau zoo dua li cov pab pawg tswj. Tom qab kev kho mob, cov neeg mob lub raum tsis ua haujlwm nyob rau hauv pawg soj ntsuam Tom qab kev kho mob, cov qhab nia tsis muaj zog ntawm lub duav thiab lub hauv caug, nkees thiab qaug zog, noj zaub mov tsis zoo thiab dullness, thiab
Cov tsos mob ntawm Suav cov tsos mob tau zoo dua li ntawm pawg tswj hwm, uas tau pom tias txoj kev kho tshuaj suav tuaj yeem txhim kho cov tsos mob ntawm cov neeg mob. txhim kho cov tsos mob ntawm cov neeg mob, thiab kev txhim kho cov tsos mob ntawm cov tsos mob qhia tau hais tias cov neeg mob txoj kev kho mob Kev txhim kho ntawm cov tsos mob qhia tau hais tias cov neeg mob cov kev ua tau zoo, thiab nws muaj qhov zoo tseem ceeb rau kev txhim kho cov tsos mob ntawm TCM nyob rau hauv cov neeg mob.mob raum tsis ua haujlwm. Kev txhim kho ntawm cov tsos mob ntawm kev kho mob tau qhia tias kev ua tau zoo ntawm cov neeg mob kev kho mob tau zoo dua qub, thiab nws muaj txiaj ntsig zoo rau kev txhim kho cov tsos mob ntawm TCM hauv cov neeg mob uas mob raum tsis ua haujlwm. Tag nrho cov kev txaus siab ntawm cov neeg mob nyob rau hauv pawg soj ntsuam yog 93.33 feem pua, uas yog siab dua li ntawm pawg tswj. Nws tuaj yeem pom tias cov neeg mob nrogmob raum tsis ua haujlwmtxaus siab rau txoj kev kho TCM. Qhov feem pua ntawm cov neeg mob txaus siab heev nrog lub raum tsis ua haujlwm nyob rau hauv txoj kev kho TCM yog ntau tshaj 50 feem pua. Qhov feem pua ntawm cov neeg mob txaus siab heev nrog lub raum tsis ua haujlwm nyob rau hauv kev kho mob TCM yog ntau dua 50 feem pua, thaum feem pua ntawm cov neeg mob txaus siab heev nrogmob raum tsis ua haujlwmnyob rau hauv Western tshuaj kho yog tsawg dua 50 feem pua. Qhov no qhia tau hais tias kev lees paub ntawm TCM txoj kev kho mob siab dua.
Cov neeg mob pom tsis muaj kev phiv los ntawm cov ntshav siab, hyperkalemia, kab mob plawv thiab cerebrovascular. Qhov no qhia tau hais tias kev nyab xeeb ntawm TCM txoj kev kho mob siab, thaum kev nyab xeeb ntawm Western tshuaj txoj kev kho mob siab. Cov neeg mob uas mob raum tsis ua haujlwm raws li txoj kev kho mob sab hnub poob tau nce siabntshav siab, hyperkalemia, mob plawvthiabcerebrovascularTag nrho cov xwm txheej ntawm cov kev tsis zoo tshwm sim xws li ntshav siab, hyperkalemia, thiab kab mob plawv hauv cov neeg mob.mob raum tsis ua haujlwmnyob rau hauv Western tshuaj kho yog 23.33 feem pua, qhia tias kev nyab xeeb ntawm Western tshuaj kho yog siab. Tag nrho qhov tshwm sim yog 23.33 feem pua , qhia tias kev nyab xeeb ntawm Western kev kho mob tsis zoo rau kev kho TCM. Nws tuaj yeem pom tias TCM txoj kev kho mob tuaj yeem txhim kho kev nyab xeeb ntawm kev kho mob rau cov neeg mobmob raum tsis ua haujlwm. Kev nyab xeeb ntawm kev kho mob rau cov neeg mob lub raum tsis ua haujlwm tau zoo txhim kho los ntawm cov tshuaj suav. Yog cov neeg mob nrogmob raum tsis ua haujlwmtxhim kho cov ntshav siab nce ntshav siab, hyperkalemia, kab mob plawv, thiab lwm yam thaum kho mob.mob raum tsis ua haujlwmcov neeg mob, nws yuav ua phem rau tus neeg mob lub cev thiab tej zaum yuav ua rau cov neeg mob nrogmob raum tsis ua haujlwm, uas yuav ua rau muaj kev phom sij rau lub neej. Yog li ntawd, nyob rau hauv TCM kev kho mob, lub tswv yim ntawm kev kho tus kab mob tuaj yeem siv los tiv thaiv cov teebmeem tsis zoo. Yog li ntawd, nyob rau hauv TCM kev kho mob, peb tuaj yeem siv lub tswv yim ntawm kev kho tus kab mob kom tsis txhob muaj qhov cuam tshuam tsis zoo, thiab kho cov tshuaj sib xyaw ua ke kom zoo li no, raws li TCM kev kho mob, lub tswv yim ntawm kev kho tus kab mob tuaj yeem siv los tiv thaiv txhua yam kev mob tshwm sim, thiab los ntawm kev kho cov tshuaj sib xyaw ua ke, cov kev tsis zoo tshwm sim tuaj yeem tiv thaiv tau.
Hauv kev xaus, kev kho mob ua tau zoo ntawm TCM kev kho mob hauv cov neeg mob nrogmob raum tsis ua haujlwmNws zoo dua li cov tshuaj Western. Kev kho mob zoo ntawm TCM kev kho mob hauv cov neeg mob lub raum tsis ua haujlwm yog qhov zoo dua li cov tshuaj Western, thiab TCM txoj kev kho mob tuaj yeem ua rau Suav cov tshuaj kho tau zoo tuaj yeem txhim kho lub raum ua haujlwm Performance indexes, serum-related indexes, soj ntsuam cov tsos mob thiab txo cov kev kho mob suav tshuaj. tuaj yeem txhim kho cov neeg mob lub raum ua haujlwm Performance indexes, serum-related indexes, soj ntsuam cov tsos mob, txo lawv cov qhab nias TCM, txhim kho cov neeg mob siab, thiab txhim kho kev nyab xeeb kev kho mob. Kev kho mob tau zoo ntawm TCM kho tau zoo dua li cov tshuaj Western.
