Objective: To explore the effect of Jianpi Wenshen Granules on the Controlling Nutritional Status (CONUT) score in elderly patients undergoing maintenance hemodialysis. Methods: Seventy elderly outpatients undergoing maintenance hemodialysis from January 2023 to January 2024 at the Blood Purification Centers of Taizhou Traditional Chinese Medicine Hospital and Taizhou Second People’s Hospital were selected as the study subjects. The patients were randomly divided into two groups: the study group and the control group, with 35 patients in each group. Both groups received maintenance hemodialysis, while the control group received only conventional Western medicine treatment, and the study group was additionally treated with Jianpi Wenshen Granules. The changes in biochemical and inflammatory markers before and after treatment were compared between the two groups. The nutritional status of the patients was assessed using the Controlling Nutritional Status (CONUT) score, and detailed statistics were gathered on anemia and albumin levels in both groups. Results: After treatment, the CONUT score in the study group significantly decreased compared to the control group, showing a significant correlation (P < 0.05). Albumin and hemoglobin levels significantly increased, with a notable difference (P < 0.05). There were no significant differences in alanine aminotransferase and aspartate aminotransferase levels between the two groups before and after treatment (P > 0.05). Conclusion: In elderly patients undergoing maintenance hemodialysis, Jianpi Wenshen Granules improve the CONUT score and enhance nutritional status, demonstrating potential for clinical application and promotion.
Song Y, Cai G, Xiao Y, et al., 2018, Research Progress on Risk Factors for Death in Elderly Patients on Maintenance Hemodialysis. Chinese Journal of Nephrology Research, 7(1): 39–43.
Jiang Y, Li JH, Luo JF, et al., 2022, Hemodiafiltration Improves Red Blood Cell Lifespan in Patients with End-Stage Renal Disease. Semin Dial, 35(3): 215–221. https://doi.org/10.1111/sdi.13037
Lin L, Cui L, Chen J, 2021, Effect of Different Dialysis Methods in Improving the Risk of Upper Gastrointestinal Bleeding in Maintenance Hemodialysis Patients. Minerva Med, 114(1): 108–110. https://doi.org/10.23736/S0026-4806.21.07838-1
Zhao J, Yuan L, Luo Y, et al., 2020, Effects of Uremia Clearing Granules Combined with L-carnitine on Nutritional Deficiency, Micro-inflammatory State, and Quality of Life in Maintenance Hemodialysis Patients. Chinese Journal of Traditional Chinese Medicine, 38(3): 107–108.
Yajima T, Yajima K, Takahashi H, 2022, Annual Change in the Extracellular Fluid/Intracellular Fluid Ratio and Mortality in Patients Undergoing Maintenance Hemodialysis. Sci Rep, 12(1): 242. https://doi.org/10.1038/s41598-021-04366-6
Nasir K, Sultan S, Qureshi R, et al., 2022, Mini Nutritional Assessment (MNA) as a Reliable Tool for Nutritional Assessment of Hemodialysis Patients: A Single-Center Observation. Cureus, 14(1): e21024. https://doi.org/10.7759/cureus.21024
Yamada S, Yamada K, Nishida H, 2023, Comparison of Nutrition Screening Tools in Patients Receiving Maintenance Hemodialysis. Ther Apher Dial, 27(1): 177–179. https://doi.org/10.1111/1744-9987.13889
Kurajoh M, Mori K, Miyabe M, et al., 2022, Nutritional Status Association With Sarcopenia in Patients Undergoing Maintenance Hemodialysis Assessed by Nutritional Risk Index. Front Nutr, 9: 896427. https://doi.org/10.3389/fnut.2022.896427
Yeganehjoo M, Byham-Gray L, Brody R, 2022, Associations Between Body Mass Index, Waist to Hip Ratio and Conicity Index Among Individuals on Maintenance Hemodialysis. Am J Kidney Dis, 79(4): S77.
Li Y, Liu G, Zhao J, 2019, A Bibliometric Analysis of the Pharmacological Research on Astragalus in China. Western Journal of Traditional Chinese Medicine, 32(2): 86–89.
Huang Y, Zhang Y, Kang L, et al., 2018, Research Progress on the Chemical Constituents and Pharmacological Activities of Plants in the Genus Codonopsis. Chinese Herbal Medicine, 49(1): 239–250.
Cui H, Wang R, Guo W, et al., 2019, Research Progress on the Chemical Constituents, Pharmacological Effects, and Clinical Applications of Poria. Northwest Pharmacy Journal, 34(5): 130–136.
Cao Y, Zhang L, Lv L, et al., 2020, Effects of the Spleen-Strengthening and Kidney-Tonifying Formula on Immune T Cell Subgroups and Related Cytokines in Patients with Aplastic Anemia. Hebei Medical Journal, 42(4): 508–511 + 516.
Yin D, 2016, Correlation Between Advanced Oxidation Protein Products and Atherosclerosis in Chronic Kidney Disease Patients. Chinese Journal of Integrative Medicine on Kidney Diseases, 17(9): 845–846.
Xie Y, Long C, Tao Z, et al., 2016, Effects of the Kidney-Tonifying and Spleen-Strengthening Method on Micro-inflammation, Oxidative Stress, and Nutritional Status in Stage 3 Chronic Kidney Disease Patients. Chinese Journal of Integrative Medicine on Kidney Diseases, 17(1): 54–56.