芒硝外敷下肢治疗肾性水肿的疗效观察

摘要

目的:评估芒硝外敷对于肾性水肿患者的消肿疗效以及不良反应.方法:采用随机对照临床试验的方法,对照组采用常规治疗护理+遵医嘱使用利尿剂,试验组采用常规治疗护理+遵医嘱使用利尿剂+芒硝外敷双下肢,观察两组的体重、腿围、尿量等的变化情况,并记录发生的不良反应.结果:试验组和对照组的体重变化和腿围变化差异有统计学意义,尿量变化无统计学意义.试验组2名患者发生了下肢瘙痒的不良反应,可能与外包芒硝的布袋材质过敏有关.结论:芒硝外敷作为一种无创的中医外治法,能对肾性水肿患者的治疗起到积极的消肿作用,提升常规治疗的消肿疗效,同时不影响利尿药物的治疗效果,不良反应较少,是值得推广的一种有效方法.%This study was aimed to evaluate the apocatastasis effect and adverse reaction of external application of mirabilite in the treatment of patients with renal edema.Randomized controlled trials (RCTs) were conducted.Patients in the control group were treated with routine treatment plus prescribed diuretics.In the test group,patients were treated with routine nursing,prescribed diuretics,and the external application of mirabilite.The results showed that there was significant difference in the changes of body weight and circumference of the leg.There was no significant difference in the change of urine volume.In the experimental group,2 patients had adverse reactions of the lower limb pruritus,which may be related to the sensitivity of the bag material.It was concluded that a noninvasive external therapy of TCM,mirabilite had quickly apocatastasis effect in the treatment of renal edema patients.Meanwhile,it does not affect the treatment effect of diuretics.The adverse reaction is less.It is an effective method which should be promoted to use.