目的：：探讨六君子汤对终末期肾病( ESRD)合并营养不良患者的补充作用。方法：对ESRD合并营养不良48例患者给予六君子汤治疗，每日1剂，分2次服，每次100 ml。30 d为1个疗程，连续观察2个疗程。监测治疗前后白蛋白、前白蛋白、转铁蛋白水平；进行营养评估( SGA)；观察患者厌食、乏力及皮肤瘙痒等临床症状的缓解情况。结果：治疗后患者的白蛋白、前白蛋白和转铁蛋白水平有明显提高( P<0.01)；治疗前AC、TSF、AMC值均为最小，随着治疗的进展，患者的各项指标均有提高；SGA评分营养不良总发生率降低；患者厌食、乏力症状有改善。结论：在充分透析的同时六君子汤对ESRD合并营养不良患者有较好疗效，可作为补充治疗。%Objective:To investigate supplementary effects of Liujunzitang on patients with end-stage renal disease ( ESRD) combined with malnutrition. Methods: Liujunzitang was administered to 48 malnourished ESRD patients, one dose per day, served with two times, each time 100 ml. Treatment course was 60 days with 30 days as a course. The levels of albumin, prealbumin and transferrin before and after the treatment were monitored. The subjective global assessment ( SGA) was performed. The remissions of clinical symptoms of anorexia, fatigue and itch skin were observed. Results: The levels of albumin, prealbumin and transferrin were significantly increased, respectively (P<0. 01) after the treatment. Before the treatment, the values of AC, TSF and AMC were mini_mum;however, they increased with the treatment. The incidence rate of malnutrition was decreased according to SGA score. The symptoms of anorexia and fatigue were alleviated. Conclusions: Liujunzitang has a good effect on the patients with ESRD combined with malnutrition and can be used as a supplementary treatment.
展开▼
