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目的探讨高位结肠透析联合尿毒清保留灌肠延缓慢性肾衰竭进展的临床疗效。方法 100例慢性肾衰竭患者,患者在一般治疗同时,应用高位结肠透析联合尿毒清保留灌肠治疗。观察患者治疗前后血尿素氮(BUN)、肌酐(SCr)、尿酸(UA)、磷(P)和甲状旁腺激素(PTH)的变化,观察治疗效果及患者临床症状情况。结果经治疗后患者临床症状变化明显改善;患者治疗后临床检测指标SCr、BUN、UA、P改善均优于治疗前(P<0.05);100例患者中,显效27例(27%),有效42例(42%),无效31例(31%),治疗总有效率为69%。结论高位结肠透析联合尿毒清颗粒保留灌肠结合内科综合治疗对慢性肾衰竭患者疗效肯定,可有效延缓早中期慢性肾衰竭的进展。
Objective To investigate the clinical efficacy of high colon dialysis combined with uremic retention enema to delay the progression of chronic renal failure. Methods 100 cases of patients with chronic renal failure, patients with general treatment at the same time, the application of high colon dialysis combined uremic Qing retention enema. The changes of BUN, SCr, UA, P and PTH were observed before and after treatment. Results After treatment, the clinical symptoms of patients were significantly improved. The improvement of SCr, BUN, UA and P in clinical patients after treatment were better than those before treatment (P <0.05). Among 100 patients, 27 cases (27%) were effective 42 cases (42%), 31 cases were ineffective (31%), the total effective rate was 69%. Conclusion High colon dialysis combined with retention of enema with uremic particles combined with medical treatment of patients with chronic renal failure positive effect, can effectively delay the progress of early-middle chronic renal failure.