Assessment of Nutritional Status by Enema Treatment Shenkangning 3 to 5 Chronic Kidney Disease Clinical Stage
|School||Hubei University of Chinese Medicine|
|Course||Chinese medical science|
|Keywords||Chronic kidney disease Chinese herbal retention enema Shenkangning enema Subjective nutritional assessment Clinical effects|
Purpose:Chronic kidney disease (CKD) patients from the glomerular filtration rate (GFR)<60ml/min from the prone to malnutrition, the incidence rate is about 30-60%.Malnutrition in chronic kidney disease seriously affect their quality of life and increase the incidence of complications and mortality. Shen-kangning enema hand to reduce the production of toxins, while promoting excretion of toxins, reduce toxin stimulation of the gastrointestinal tract, fundamentally eliminate the aggravating factors of renal failure in patients with clinical symptoms and to improve nutritional status in order to delay progressive deterioration of renal function. Therefore, this assess- ment of nutritional status by Subjective (SGA) and serum biochemical par- ameters related to renal Corning enema 3-5 chronic kidney disease on the clinical efficacy.Method:1. Clinical data:All the cases were from the Chinese medicine hospital in Xiangfan City, Hubei Province, inpatient renal disease, and chronic kidney disease are in line with Western 3-5 period (which fail to CKD-5 at the line of hemodialysis, peritoneal dialysis were) the diagnosis standards and standards of TCM syndrome.2. Observation Methods:84 patients randomly divided into two groups according to their treatment:control group, 42 patients taking conventional therapy in Western medicine; treatment group,42 patients in the control group on the basis of treatment, plus Shenkangning enema,1 day; all patients were observed in a course of treatment (30 days). Admission and after a course of treatment, each patients were recorded Subjective global assessment (SGA) classification and the related blood biochemistry [including urea (BUN), creatinine (SCr), hemoglobin (HGB), serum albumin (ALB) and carbon dioxide (CO2), etc.].3. Statistical Methods:Using SPSS 13.0 statistical software for statistical analysis. Various groups using t test between the measurement data, the data are (mean±standard deviation) or (x±S) said; group count data with aχ2 test; to P<0.05 was considered statistically significant.Results:1. Before and after treatment, urea (BUN), creatinine (SCr), hemoglobin (HGB), serum albumin (ALB), and carbon dioxide (C02) were detected by the t test statistics were statistically significant (P<0.05), the specific performance of urea (BUN), creatinine (CREA) decreased, hemoglobin (HGB), serum albumin (ALB) and carbon dioxide (CO2) increased significantly; and there was no significant difference between the control group (/> 0.05).2. Theχ2 test, treatment group and control group before treatment Subjective global assessment (SGA) classification was no significant difference (P> 0.05), but after treatment, the treatment group and control group Subjective global assessment (SGA) classification, the difference being statistically significant (P<0.05); treatment group Subjective nutritional assessment (SGA) level was significantly increased.Conclusion:Corning enema treatment of renal chronic kidney disease (CKD) better effect, can promote chronic kidney disease (CKD) 3-5 to improve the nutritional status of patients and improve the quality of life.