胜湿止痒汤组方应用于尿毒症皮肤瘙痒治疗的效果研究.docVIP

精品论文 参考文献 胜湿止痒汤组方应用于尿毒症皮肤瘙痒治疗的效果研究 黑龙江省中医药科学院 黑龙江哈尔滨 150001 【摘 要】目的：观察胜湿止痒汤组方在药浴治疗尿毒症皮肤瘙痒的临床疗效。方法：回顾性分析本院2011年1月-2015年1月收治的长期行血液透析的尿毒症皮肤瘙痒的患者100名，将其随机分为两组，每组各50名。两组均予纠正贫血，维持水电解质及酸碱平衡、控制饮食等常规治疗，每周进行3-4次血液透析。其中观察组给予胜湿止痒汤组方药浴治疗；对照采用常规治疗方法，分别记录观察在常规治疗方法基础上胜湿止痒汤组方对尿毒症皮肤瘙痒的治疗效果。结果：观察组总有效率为85%，对照组总有效率为56.3%，观察组与对照组比较有统计学意义（Plt;0.05）。结论：自拟胜湿止痒汤组方在药浴治疗尿毒症皮肤瘙痒症状上有较为显著的临床效果及治愈概率。 【关键词】胜湿止痒汤组方；尿毒症皮肤瘙痒；疗效 Wins wet itching Decoction uremic pruritus is applied to study the effects of treatment Abstract：Objective：To evaluate the clinical efficacy of wins wet itch medicated bath treatment of uremic pruritus in soup prescription.Methods：A retrospective analysis of our hospital in January 2011 - January 2015 admitted patients with long-term hemodialysis uremic pruritus 100，were randomly divided into two groups，each 50.Groups were given to correct anemia，maintain water and electrolyte and acid-base balance，control conventional diet therapy，hemodialysis 3-4 times a week.Wherein the observation group wins wet bath itching Soup Recipe group therapy；control with conventional treatment methods were recorded for the treatment of uremic pruritus itching Effect wins wet soup party group on the basis of conventional treatment methods.Results：The total effective rate was 85% in the control group，the total effective rate was 56.3% in the observation group and the control group was statistically significant（P lt;0.05）.Conclusion：Self itching wins wet soup prescription drug bath on the treatment of uremic pruritus symptoms have a more significant clinical effect and the probability of cure. Keywords：wins wet itching Decoction；uremic pruritus；efficacy 目前，尿毒症皮肤瘙痒已逐渐成为慢性肾衰竭尿毒症期患者较为常见的并发症之一。据有关文献报道，透析前尿毒症患者皮肤瘙痒的发生率约为36.1%[1]，但当规律透析逐渐开始后，尿毒症患者的生命在逐渐延长，在透析期间或透析后皮肤瘙痒的发生率增加了60%-90%[2]。患者常常会因为皮肤瘙痒而严重的影响日常正常生活，甚至夜间的睡眠，这进一步引起了患者的烦躁，精神不振，更严重的影响着患者的生活质量，使得患者的心理和生理都承受着很大的压力，给患者的家庭也带来很大的负担，但是目前仍缺乏行之有效的治愈手段，这都让患者及其家庭苦不堪言。选取本院2011年1月-2015年1月收治的100例尿毒症皮肤瘙痒患者，将其随机分为两组，每组各50名，其中观察组给予胜湿止痒汤组方药浴治疗；对照采用常规治