QIU Xing-an, NING Jun, HUANG Yi-jiang. Influence of Treatment of Xuefu Zhuyu Tang to Hypercoagulable State of Patients with End-stage Renal Disease During Hemodialysis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(14): 153-156.
DOI:
QIU Xing-an, NING Jun, HUANG Yi-jiang. Influence of Treatment of Xuefu Zhuyu Tang to Hypercoagulable State of Patients with End-stage Renal Disease During Hemodialysis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(14): 153-156. DOI: 10.13422/j.cnki.syfjx.2015140153.
Influence of Treatment of Xuefu Zhuyu Tang to Hypercoagulable State of Patients with End-stage Renal Disease During Hemodialysis
Objective: To discuss the influence of treatment of Xuefu Zhuyu tang to hypercoagulable state of patients with hemodialysis in treating end-stage renal disease(ESRD). Method: Ninety patients were randomly divided into control group (45 cases) and observation group (45 cases) by random number table. Both group's patients received hemodialysis of western medicine symptomatic treatment. Patients in control group received Shenyan Siwei capsules
6 grains/time
3 times/day. Patients in observation received treatment of Xuefu Zhuyu tang
1 dose/day. Course of treatment in two groups lasted 12 weeks. Before and after treatment
the change of fibrinogen(FIB)
D-dimer(D-D)
von willebrand factor(vWF)
homocysteine(Hcy)
thrombus precursor protein(TpP)
hemorheology
tissue plasminogen activator(t-PA) and plasminogen activator inhibitor(PAI) were observed. Result: After treatment
levels of D-D
FIB
vWF
Hcy and TpP in observation group were lower than those in control group(P<0.01). Compared with before treatment
amelioration of whole blood viscosity(low shear and high shear)
plasma viscosity
hematokrit
platelet aggregation rate were obviously(P<0.01)
and it was superior to those in control group(P<0.01). Both group's levels of t-PA increased
and it was more obviously in observation group(P<0.01). Level of PAI in observation group decreased and lower than those in control group(P<0.01). Conclusion: Treatment of Xuefu Zhuyu tang can reduce levels of prothrombin factors of patients with hemodialysis in treating ESRD
restrain platelet aggregation
ameliorate microcirculation and hypercoagulable state
and it can prevent the development of thrombus and reduce the happening of thrombosis disease.