肾性贫血的中医药治疗近况
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摘要
慢性肾衰竭是由多种原因造成的肾脏慢性损伤以及进行性恶化的结果,其临床表现复杂,涉及到多个系统的损伤。其中,肾性贫血(RA)是慢性肾衰竭常见的严重并发症,也是导致慢性肾病进展和增加心血管并发症的重要危险因素,影响到患者的生活质量,并与预后密切相关。目前中医药在肾性贫血的治疗上疗效显著,在临床治疗上有其不可替代的作用,现对近年来中医药治疗肾性贫血的研究进展做一综述,以供临床参考。
Chronic renal failure is the result of chronic kidney injury and progressive deterioration caused by various causes. Its clinical manifestations are complex and involve multiple system injuries. Among them, renal anemia(RA) is a common serious complication of chronic renal failure. It is also an important risk factor for the progression of chronic kidney disease and increase of cardiovascular complications, which affects the quality of life of patients and is closely related to prognosis. At present, Chinese medicine has remarkable curative effect in the treatment of renal anemia, and plays an irreplaceable role in clinical treatment. This paper summarizes the research progress of Chinese medicine in the treatment of renal anemia in recent years, which provides the reference for clinic.
Chronic renal failure is the result of chronic kidney injury and progressive deterioration caused by various causes. Its clinical manifestations are complex and involve multiple system injuries. Among them, renal anemia(RA) is a common serious complication of chronic renal failure. It is also an important risk factor for the progression of chronic kidney disease and increase of cardiovascular complications, which affects the quality of life of patients and is closely related to prognosis. At present, Chinese medicine has remarkable curative effect in the treatment of renal anemia, and plays an irreplaceable role in clinical treatment. This paper summarizes the research progress of Chinese medicine in the treatment of renal anemia in recent years, which provides the reference for clinic.
引文
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[17]段学峰,朱冬红,王双珠,等.当归补血汤加减联合常规疗法治疗尿毒症贫血临床观察[J].新中医,2018,50(5):98-100.
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[19]范军,原洋,郭晓红,等.补肾生血方对肾性贫血大鼠EPO水平及EPORm RNA的影响[J].湖南中医杂志,2018,34(4):138-141.
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[21]何丽君,林向前,陈豪,等.复方三草滴丸防治大鼠肾性贫血实验研究[J].中国药业,2018,27(15):5-8.
[2]卢祖礼,杨化冰.浅析肾性贫血的基本病机[J].湖北中医杂志,2012,34(10):28-29.
[3]姚春雷.董志刚教授治疗肾性贫血的经验总结[D].沈阳:辽宁中医药大学,2009.
[4]中国医师协会肾内科医师分会肾性贫血诊断和治疗共识专家组.肾性贫血诊断与治疗中国专家共识(2014修订版)[J].中华肾脏病杂志,2014,30(9):712-716.
[5]中华医学会肾脏病学分会.重组人促红细胞生成素在肾性贫血中合理应用的专家共识[J].中国血液净化,2007,6(8):440-443.
[6]肖相如.肾性贫血的治疗经验[J].辽宁中医杂志,2004(1):15.
[7]赵霞.肾性贫血基本方[J].中国中西医结合肾病杂志,2001(11):676.
[8]韩海燕,路建饶,王新华,等.叶景华治疗肾性贫血经验[J].中医杂志,2013,54(24):2085-2087.
[9]李秀典,沈晓璞,邓明,等.李维民教授填精纳气法治疗肾性贫血经验介绍[J].世界中医药,2018,13(6):1492-1494.
[10]张晓敏.益气补血温阳法治疗肾性贫血体会[J].中国民族民间医药,2012,21(1):97.
[11]龙韵,吴金玉.吴金玉教授治疗肾性贫血经验[J].云南中医中药杂志,2011,32(5):5-6.
[12]刘新瑞.李莹教授治疗肾性贫血经验总结[J].中国医药指南,2011,9(10):120-121.
[13]王俊,徐梅昌,邓旭,等.孙伟教授益肾清利活络法治疗慢性肾脏病肾性贫血[J].吉林中医药,2017,37(3):226-229.
[14]董立明,刘坤,王静净,等.强肾固精方联合ACEI类药物治疗肾性高血压和肾性贫血的临床研究[J].世界中医药,2018,13(7):1641-1643,1648.
[15]赵捷平,石金羽,靳嵩.补脾益肾升血丸治疗肾性贫血的临床分析[J].中医临床研究,2018,10(10):81-82.
[16]韩斌,韩丽娟.益气温阳法治疗高原地区慢性肾性贫血的疗效观察及作用机制研究[J].辽宁中医杂志,2018,45(1):77-79.
[17]段学峰,朱冬红,王双珠,等.当归补血汤加减联合常规疗法治疗尿毒症贫血临床观察[J].新中医,2018,50(5):98-100.
[18]唐阁,杨洪涛,林燕,等.扶肾颗粒改善腹透模型大鼠肾性贫血的机制研究[J].辽宁中医杂志,2018,45(9):1971-1973,2018.
[19]范军,原洋,郭晓红,等.补肾生血方对肾性贫血大鼠EPO水平及EPORm RNA的影响[J].湖南中医杂志,2018,34(4):138-141.
[20]张紫嫣.温肾益髓生血方对肾性贫血大鼠肝组织BMP/SMAD-hepcidin影响的实验研究[D].北京:北京中医药大学,2018.
[21]何丽君,林向前,陈豪,等.复方三草滴丸防治大鼠肾性贫血实验研究[J].中国药业,2018,27(15):5-8.