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目的:观察中西医结合治疗维持性血液透析(血透)慢性肾衰竭(CRF)肾性贫血的疗效。方法:采用中西医结合的方法治疗维持性血透CRF肾性贫血36例,并与单纯西医治疗的36例进行对比观察。结果:治疗组总有效率91.67%,显著优于对照组69.44%(P<0.05);治疗组RBC、Hb、Hct、STP、网织红细胞计数升高的水平和FIB的改善均优于对照组(P<0.05),且网织红细胞计数达到高峰的时间早于对照组(P<0.05),波动幅度较对照组平稳;治疗组红细胞脆性抗幅增大及症状、体征的改善也优于对照组(P<0.01);且对SF、TS、血压、PLT及电解质无明显影响。结论:中西医结合治疗肾性贫血疗效较单纯西医治疗好。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on maintenance hemodialysis (hemodialysis) chronic renal failure (CRF) renal anemia. Methods: 36 cases of maintenance hemodialysis CRF renal anemia were treated with the method of integrated traditional Chinese and western medicine, and compared with 36 cases treated with western medicine alone. Results: The total effective rate was 91.67% in the treatment group, which was significantly better than 69.44% in the control group (P <0.05). The RBC, Hb, Hct, STP, reticulocyte count and FIB in the treatment group were better than those in the control group (P <0.05), and the reticulocyte count peaked earlier than that of the control group (P <0.05), and the amplitude of fluctuation was more stable than that of the control group. The treatment group also showed an increase of erythrocyte fragility and improvement of symptoms and signs Group (P <0.01), and had no significant effect on SF, TS, blood pressure, PLT and electrolytes. Conclusion: The treatment of renal anemia with traditional Chinese and Western medicine is better than western medicine alone.