[1]钟源芳,岳艳利,刘涵荫,等.五心养肾法对脾肾阳虚型血液透析患者生活质量的影响[J].西部中医药,2026,39(03):170-175.[doi:10.12174/j.issn.2096-9600.2026.03.32]
　ZHONG Yuanfang,YUE Yanli,LIU Hanyin,et al.Effects of Five-sole Kidney-invigorating Method on Quality of Life in Hemodialysis Patients with Spleen-kidney Yang Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2026,39(03):170-175.[doi:10.12174/j.issn.2096-9600.2026.03.32]
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五心养肾法对脾肾阳虚型血液透析患者生活质量的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年03期
页码:
170-175
栏目:
特色医疗
出版日期:
2026-03-15

文章信息/Info

Title:
Effects of Five-sole Kidney-invigorating Method on Quality of Life in Hemodialysis Patients with Spleen-kidney Yang Deficiency Pattern
作者:
钟源芳, 岳艳利, 刘涵荫, 李珺, 王高强, 曾洋, 杨盼, 张玮
上海市杨浦区中医医院 上海 200090
Author(s):
ZHONG Yuanfang, YUE Yanli, LIU Hanyin, LI Jun, WANG Gaoqiang, ZENG Yang, YANG Pan, ZHANG Wei
Yangpu District Hospital of Traditional Chinese Medicine, Shanghai 200090, China
关键词:
血液透析; 五心养肾法; 脾肾阳虚; 生活质量; 中医外治法
Keywords:
hemodialysis; five-sole kidney-invigorating method; spleen-kidney deficiency; quality of life; TCM external therapy
分类号:
R244.9
DOI:
10.12174/j.issn.2096-9600.2026.03.32
文献标志码:
B
摘要:
目的探讨五心养肾法对脾肾阳虚型维持性血液透析（maintenance hemodialysis，MHD）患者生活质量的影响。 方法选取脾肾阳虚型MHD患者62例，采用随机数字表法分为观察组与对照组，每组各31例。对照组给予常规血液透析及并发症对症治疗，观察组在对照组基础上联合应用五心养肾法（穴位贴敷+中医定向透药）干预。疗程12周。 方法比较两组治疗前后中医症状积分、生存质量评分、实验室指标［血红蛋白（hemoglobin，Hb）、血清白蛋白与C反应蛋白比值（albumin to C-reactive protein ratio，ALB/CRP）、血磷、甲状旁腺素（parathyroid hormone，PTH）、血肌酐（serum creatinine，Scr）、尿素氮（blood urea nitrogen，BUN）水平］的变化，并评估临床疗效。 结果治疗12周后，观察组在治疗各时间点的中医症状积分均低于对照组（P＜0.05）；两组患者的生活质量评分（KDTA及SF-36）均较治疗前升高，且观察组升高更明显（P＜0.05）。在实验室指标方面，治疗后，观察组Hb、ALB/CRP水平高于对照组，血磷、PTH、Scr、BUN水平低于对照组，差异均有统计学意义（P＜0.001）；观察组的中医症状疗效总有效率（96.77%）和疾病综合疗效总有效率（96.77%）均高于对照组（83.87%，80.64%），差异有统计学意义（P＜0.05）。 结论五心养肾法能有效改善脾肾阳虚型MHD患者的中医临床症状、营养状况、部分肾功能相关指标及炎症状态，提高患者生活质量，临床疗效确切。
Abstract:
ObjectiveTo survey the influence of five-sole kidney-invigorating method on quality of life in maintenance hemodialysis (MHD) patients with spleen-kidney Yang deficiency pattern. MethodsA total of 62 MHD patients with spleen-kidney Yang deficiency were selected, and allocated to the the control group and the observation group with 31 cases in each using random number table method. The control group was treated with conventional hemodialysis and symptomatic treatment for complications, and the observation group received five-sole kidney-invigorating method (acupoint application+iontophoresis) on the foundation of the therapy of the control group. The course of the treatment was 12 weeks. To compare TCM symptom scores, quality of life scores, lab indexes containing Hb, ALB/CRP, serum phosphorus, PTH, Scr, and BUN before and after the treatment between the two groups, and to assess clinical effects. ResultsAfter 12 weeks of the treatment, TCM symptom scores at each treatment time point of the observation group were lower than these of the control group (P<0.05); the two groups showed the elevated quality of life scores (KDTA and SF-36) than before the treatment, and the increase of the observation group was more evident (P<0.05). In terms of lab indexes, after the treatment, the levels of Hb and ALB/CRP of the observation group were higher than these of the control group, the levels of serum phosphorus, PTH, Scr, and BUN lower than these of the control group, and the difference showed statistical meaning (P<0.001); total effective rate based on TCM symptoms (96.77%) and total effective rate based on comprehensive disease evaluation (96.77%) of the observation group were higher than the rates (83.87%, 80.64%) of the control group, and the difference showed statistical meaning (P<0.05). ConclusionFive-sole kidney-invigorating method could effectively improve TCM clinical symptoms, nutritional state, parts of renal function indexes and inflammatory state, raise the patients’ quality of life with definite clinical effects.

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备注/Memo

备注/Memo:
上海市卫生健康委员会中医药科研项目（2022QN090）。钟源芳（1987—），女，硕士学位，主治医师。研究方向：肾脏疾病的临床诊治。
更新日期/Last Update: 2026-03-15