Clinical Research On The Treatment Method Of Invigorating The Spleen And Kidney For Spleen And Kidney Deficiency Type Malnutrition Of The CKD 4?5 Period

Objective: Observation of the spleen and kidney functional spleen and kidney deficiency chronic kidney disease(CKD) 4, 5, the therapeutic effect of malnutrition,When evaluating flavored with ginseng and astragalus treatment 4, and 5) malnutrition in chronic kidney disease(CKD) spleen and kidney deficiency type of clinical efficacy, and safety,As to provide theoretical basis for TCM treatment of chronic kidney disease(CKD) malnutrition.Method:Will be included in the standard of 60 patients, 30 cases were randomly divided into test group and control group 30 cases. Control group to be compound alpha keto acid treatment, patients in the control group treatment on the basis of ginseng and astragalus to add flavor to when Chinese medicine decoction. Two groups of a course of 8 weeks. Were observed before and after treatment in patients with blood albumin(propagated), blood protein(Pre propagated) before, blood cholesterol(TC), hemoglobin(Hb), subjective comprehensive nutrition assessment rating(SGA) and the change of the total score of syndromes. The income data are processed on SPSS18.0 statistical software, to carry on the contrast before and after the experiment, analysis the change of biochemical index and significance as well as the improvement of TCM syndrome.Results:(1) before and after treatment, treatment group and control group of TCM syndrome integral, the fewer the difference was statistically significant(P < 0.05); Experimental group after treatment of TCM syndrome integral to reduce the amplitude of the control group, the difference was statistically significant(P < 0.05).(2) the comparison before and after treatment, treatment group and control group before blood albumin, hemoglobin, albumin, blood cholesterol than before the increase, the difference was statistically significant(P < 0.05); Experimental group compared with control group, experimental group after treatment of blood albumin, hemoglobin, albumin, blood cholesterol before growth is greater than the control group, the difference was statistically significant(P < 0.05).(3) before and after treatment, the SGA classification of the experimental group and control group are also better, before the difference was statistically significant(P < 0.05); SGA grading after treatment of the test group to improve the number of the control group, the difference was statistically significant(P < 0.05).Conclusion: using the method of invigorating kidney treatment 4, 5 chronic kidney disease(CKD), spleen and kidney deficiency type malnutrition can correct patients nutrition status, has a certain clinical significance.