中药足浴辅助治疗慢性肾脏病临床研究进展
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摘要
中药足浴治疗对于慢性肾脏病(CKD)病人具有安全易行、减轻CKD病人的临床症状,消除病程中出现水肿、高凝以及改善皮肤病变,效果安全可靠。对于未透析病人能延缓病情发展,推迟透析时间,对于透析病人能减少透析次数。严重的CKD病人临床变现有消化道症状,足浴疗法优势在于减轻肾脏负担的同时不会损伤胃肠功能,并能改善睡眠,无不良反应。操作简便,临床辅助效果显著,被广大病人所接受。该文就中药足浴治疗CKD临床研究作一综述,探讨足浴在CKD的治疗中的作用及机制。
Foot bath of traditional chinese medicine can relieve the clinical symptoms of CKD patients,and improve edema,hypercoagulability and skin lesion in the progress of disease. It is safe and feasible in operation,and reliable in effects. It can defer the progression of disease and put off entering into hemodialysis,as well as reduce the frequency of hemodialysis for HD patients. Some severe CKD patients may have digestive tract symptoms. Foot bath of traditional chinese medicine can ease the burden of kidney and improve sleep hurting stomach function. It barely has adverse reactions. It is widely accepted by patients because its feasible and effective. This article aims at discussing the effects and mechanism of foot bath of traditional chinese medicine in treating chronic kidney disease.
Foot bath of traditional chinese medicine can relieve the clinical symptoms of CKD patients,and improve edema,hypercoagulability and skin lesion in the progress of disease. It is safe and feasible in operation,and reliable in effects. It can defer the progression of disease and put off entering into hemodialysis,as well as reduce the frequency of hemodialysis for HD patients. Some severe CKD patients may have digestive tract symptoms. Foot bath of traditional chinese medicine can ease the burden of kidney and improve sleep hurting stomach function. It barely has adverse reactions. It is widely accepted by patients because its feasible and effective. This article aims at discussing the effects and mechanism of foot bath of traditional chinese medicine in treating chronic kidney disease.
引文
[1]邓德强,张剑荣,周江,等.中西医结合治疗糖尿病肾病肾功能不全代偿期的临床观察[J].中西医结合研究,2009,1:32-34.
[2]于敏,赫岩,李萌,等.中药足浴法治疗慢性肾衰竭50例临床疗效观察[J].中国全科医学,2008,11(7):1301-1302.
[3]史耀勋,张睿,田谧,等,浅探中药足浴法治疗早期糖尿病肾病[J].国医论坛,2011,26(1):21.
[4]张睿,田谧,史耀勋.中药足浴法治疗糖尿病肾病(Ⅲ期)的临床观察[J].中国中医药现代远程教育,2012,10:121-122.
[5]黄菊,陈风和.中药足浴辅助治疗糖尿病肾病的疗效观察[J].中南医学科学杂志,2013,41(6):647-649.
[6]姚旭英,史耀勋,王泽生,等.中药足浴法治疗早期糖尿病肾病的临床观察及护理[J].中国民间疗法,2011,19(4):23-24.
[7]熊莉华,刘振杰,范冠杰.中西医结合综合治疗早期糖尿病肾病97例疗效观察[J].新中医,2007,39(8):90-91.
[8]张睿,史耀勋,田谧.中医外治法治疗糖尿病肾病[J].中国中医药现代远程教育,2011,9(13):110.
[9]卫德强.中药保守治疗对肾功能不全患者血清Hcy、IL-6及LN的影响[J].中国中医急症,2011,20(10):1697-1699.
[10]于敏,赫岩,李萌,等.中药足浴法治疗慢性肾衰竭50例临床疗效观察[J].中国全科医学,2008,11(14):1301.
[11]管玉香.中药足浴配合灌肠治疗慢性肾功能不全30例临床观察[J].安徽中医学院学报,2006,25(1):12.
[12]晋中恒.中医综合疗法治疗慢性肾功能衰竭临床观察[J].临床合理用药杂志,2009,2(4):43.
[13]赵宇,张传方.中医药保留灌肠结合足浴治疗慢性肾功能衰竭30例临床观察[J].中医临床研究,2012,4(8):24-25.
[14]邓宝华,李雪珍,周慎,等.稳肾汤合中药灌肠、足浴治疗慢性肾衰竭50例临床观察[J].中国中西医结合肾病杂志,2016,17(1):61-63.
[15]王立媛,王亿平,胡顺金,等,中药保留灌肠联合中药足浴治疗慢性肾衰竭的疗效观察[J].中医药临床杂志,2015,27(11):1592-1594.
[16]王爱红,马洪宇.中药足浴护理慢性肾衰竭[J].长春中医药大学学报,2015,31(3):598-600.
[17]杨威严,史耀勋.中药足浴法治疗高尿酸血症肾病的临床观察及护理[J].中国民间疗法,2012,20(4):21-22.
[18]卞尧尧,杨丽丽,严淑霞,等.足浴配合穴位按摩对代谢综合征患者GFR、SCr及BUA的影响[J].中国中医急症,2014,23(12):2254-2256.
[19]唐今尧,唐光钰.肾寐足浴汤联合耳穴贴压法对慢性肾脏病合并失眠症的干预作用[J].世界睡眠医学杂志,2014,1(3):165-168.
[20] DAVISON SN,JHANGRI GS. Impact of pain and symptom burden on the health—related quality of life of hemodialysis patients[J].J Pain Symptom Manage,2010,39(3):477-485.
[21] MURTAGH FE,ADDINGTON-HALL J,HIGGINSON IJ. The prevalence of symptoms in end—stage renal disease:a systematic review[J]. Adv Chronic Kidney Dis,2007,14(1):82-99.
[22] MAPES DL,LOPES AA,SATAYATHUM S,et al. Health-related quality of life as a predictor of mortality and hospitalization:the dialysis outcomes and practice patterns study(DOPPS)[J]. Kidney Int,2003,64(1):339-349.
[23]毛秀梅,金晓薇,史耀勋.中药足浴法治疗肾病综合征的临床观察及护理[J].中国民间疗法,2012,20(10):25.
[24] ZHANG P,LIU JM. Therapeutic effect of podiatric bath and massage with chinese herb on somnipathy in elderly patients[J]. Journal of Nursing Science,2008,23(3):4-6.
[25]罗秀梅,袁玉萍,李莉.中药足浴加穴位按摩对提高血透患者睡眠质量的相关研究[J].护理实践与研究,2011,8(20):30-31.
[26]李九红,黄伶智,任小红,等.中药足浴对维持性血液透析患者睡眠质量和症状困扰的影响研究,中国全科医学,2016,19(10):1207-1212.
[27] ODOM RB,JAMES WD,BERGER TG,et al.安德鲁斯皮肤病学(影印版)[M]. 9版.北京:北京科学出版社,2001:51-52.
[28]林善锬.当代肾脏病学[M].上海:上海科技教育出版社,2001:782-788.
[29]刘晓玲.中西医结合治疗慢性肾炎水肿56例[J].河南中医,2014,34(7):1383-1384.
[30]田俊清,李创业.水肿病治则探讨[J].中医学报,2012,27(9):1140-1141.
[31]张广智.宁心助眠汤配合中药足浴治疗失眠症143例.中国民间疗法,2009,17(10):40.
[2]于敏,赫岩,李萌,等.中药足浴法治疗慢性肾衰竭50例临床疗效观察[J].中国全科医学,2008,11(7):1301-1302.
[3]史耀勋,张睿,田谧,等,浅探中药足浴法治疗早期糖尿病肾病[J].国医论坛,2011,26(1):21.
[4]张睿,田谧,史耀勋.中药足浴法治疗糖尿病肾病(Ⅲ期)的临床观察[J].中国中医药现代远程教育,2012,10:121-122.
[5]黄菊,陈风和.中药足浴辅助治疗糖尿病肾病的疗效观察[J].中南医学科学杂志,2013,41(6):647-649.
[6]姚旭英,史耀勋,王泽生,等.中药足浴法治疗早期糖尿病肾病的临床观察及护理[J].中国民间疗法,2011,19(4):23-24.
[7]熊莉华,刘振杰,范冠杰.中西医结合综合治疗早期糖尿病肾病97例疗效观察[J].新中医,2007,39(8):90-91.
[8]张睿,史耀勋,田谧.中医外治法治疗糖尿病肾病[J].中国中医药现代远程教育,2011,9(13):110.
[9]卫德强.中药保守治疗对肾功能不全患者血清Hcy、IL-6及LN的影响[J].中国中医急症,2011,20(10):1697-1699.
[10]于敏,赫岩,李萌,等.中药足浴法治疗慢性肾衰竭50例临床疗效观察[J].中国全科医学,2008,11(14):1301.
[11]管玉香.中药足浴配合灌肠治疗慢性肾功能不全30例临床观察[J].安徽中医学院学报,2006,25(1):12.
[12]晋中恒.中医综合疗法治疗慢性肾功能衰竭临床观察[J].临床合理用药杂志,2009,2(4):43.
[13]赵宇,张传方.中医药保留灌肠结合足浴治疗慢性肾功能衰竭30例临床观察[J].中医临床研究,2012,4(8):24-25.
[14]邓宝华,李雪珍,周慎,等.稳肾汤合中药灌肠、足浴治疗慢性肾衰竭50例临床观察[J].中国中西医结合肾病杂志,2016,17(1):61-63.
[15]王立媛,王亿平,胡顺金,等,中药保留灌肠联合中药足浴治疗慢性肾衰竭的疗效观察[J].中医药临床杂志,2015,27(11):1592-1594.
[16]王爱红,马洪宇.中药足浴护理慢性肾衰竭[J].长春中医药大学学报,2015,31(3):598-600.
[17]杨威严,史耀勋.中药足浴法治疗高尿酸血症肾病的临床观察及护理[J].中国民间疗法,2012,20(4):21-22.
[18]卞尧尧,杨丽丽,严淑霞,等.足浴配合穴位按摩对代谢综合征患者GFR、SCr及BUA的影响[J].中国中医急症,2014,23(12):2254-2256.
[19]唐今尧,唐光钰.肾寐足浴汤联合耳穴贴压法对慢性肾脏病合并失眠症的干预作用[J].世界睡眠医学杂志,2014,1(3):165-168.
[20] DAVISON SN,JHANGRI GS. Impact of pain and symptom burden on the health—related quality of life of hemodialysis patients[J].J Pain Symptom Manage,2010,39(3):477-485.
[21] MURTAGH FE,ADDINGTON-HALL J,HIGGINSON IJ. The prevalence of symptoms in end—stage renal disease:a systematic review[J]. Adv Chronic Kidney Dis,2007,14(1):82-99.
[22] MAPES DL,LOPES AA,SATAYATHUM S,et al. Health-related quality of life as a predictor of mortality and hospitalization:the dialysis outcomes and practice patterns study(DOPPS)[J]. Kidney Int,2003,64(1):339-349.
[23]毛秀梅,金晓薇,史耀勋.中药足浴法治疗肾病综合征的临床观察及护理[J].中国民间疗法,2012,20(10):25.
[24] ZHANG P,LIU JM. Therapeutic effect of podiatric bath and massage with chinese herb on somnipathy in elderly patients[J]. Journal of Nursing Science,2008,23(3):4-6.
[25]罗秀梅,袁玉萍,李莉.中药足浴加穴位按摩对提高血透患者睡眠质量的相关研究[J].护理实践与研究,2011,8(20):30-31.
[26]李九红,黄伶智,任小红,等.中药足浴对维持性血液透析患者睡眠质量和症状困扰的影响研究,中国全科医学,2016,19(10):1207-1212.
[27] ODOM RB,JAMES WD,BERGER TG,et al.安德鲁斯皮肤病学(影印版)[M]. 9版.北京:北京科学出版社,2001:51-52.
[28]林善锬.当代肾脏病学[M].上海:上海科技教育出版社,2001:782-788.
[29]刘晓玲.中西医结合治疗慢性肾炎水肿56例[J].河南中医,2014,34(7):1383-1384.
[30]田俊清,李创业.水肿病治则探讨[J].中医学报,2012,27(9):1140-1141.
[31]张广智.宁心助眠汤配合中药足浴治疗失眠症143例.中国民间疗法,2009,17(10):40.