慢性腎小球腎炎本虛與標(biāo)實證候分布及組合特點(diǎn)研究
發(fā)布時間：2018-07-27 15:49
【摘要】：目的研究慢性腎小球腎炎本虛與標(biāo)實證候分布及組合特點(diǎn)。方法采取問卷調(diào)查形式對200例慢性腎小球腎炎患者的臨床信息進(jìn)行采集記錄,歸納各中醫(yī)證候之間的分布和組合情況。觀察中醫(yī)證候要素分布情況,濕熱證和血瘀證中醫(yī)證候組合情況,對濕熱證組、血瘀證組、濕熱兼血瘀證組3組血白細(xì)胞計數(shù)(WBC)、血總膽固醇(CHO)、血紅蛋白(HGB)、血肌酐(SCr)、尿蛋白定量等各項指標(biāo)進(jìn)行比較。結(jié)果 200例患者出現(xiàn)的中醫(yī)證候要素主要有濕熱、氣虛、血瘀、肝郁氣滯、水濕、肝郁化火、陽虛、陰虛、痰濁、外風(fēng)、肝腎陰虛、陰虛動風(fēng),其中本虛證候中以氣虛證出現(xiàn)頻率最高,標(biāo)實證候中濕熱證和血瘀證的出現(xiàn)頻率較高。濕熱證組、血瘀證組、濕熱兼血瘀證組3組SCr、尿蛋白定量比較差異有統(tǒng)計學(xué)意義(P0.05),SCr、尿蛋白定量濕熱兼血瘀證組均高于血瘀證組和濕熱證組,差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論慢性腎小球腎炎本虛證以氣虛證為主,標(biāo)實證以濕熱證、血瘀證為主,濕熱和血瘀可能通過某種協(xié)同作用加重對正氣的耗傷。
[Abstract]:Objective to study the syndromes distribution and combination characteristics of chronic glomerulonephritis. Methods the clinical information of 200 patients with chronic glomerulonephritis was collected and recorded by questionnaire, and the distribution and combination of TCM syndromes were summarized. Observe the distribution of TCM syndromes, the combination of dampness and heat syndrome and blood stasis syndrome, the dampness and heat syndrome group, the blood stasis syndrome group, WBC count (WBC), total cholesterol (CHO), hemoglobin (HGB), serum creatinine (SCr), urine protein quantitative index were compared among the three groups of damp-heat and blood stasis syndrome group. Results the main factors of TCM syndrome in 200 patients were dampness and heat, qi deficiency, blood stasis, liver stagnation and qi stagnation, water dampness, liver depression to turn fire, yang deficiency, yin deficiency, phlegm turbidity, external wind, liver and kidney yin deficiency, yin deficiency moving wind. Qi deficiency syndrome is the most frequent, and dampness and heat syndrome and blood stasis syndrome are higher in standard syndrome. There were significant differences in the levels of SCrand urine protein between the three groups (P0.05). The quantitative differences of urinary protein in the dampness heat and blood stasis syndrome group were higher than those in the blood stasis syndrome group and the damp-heat syndrome group (P0.05). Conclusion chronic glomerulonephritis is characterized by deficiency of qi, damp-heat syndrome and blood stasis syndrome. Dampness and heat and blood stasis may aggravate the consumption of positive qi through some synergistic effect.
【作者單位】： 中國中醫(yī)科學(xué)院廣安門醫(yī)院(南區(qū));北京中醫(yī)藥大學(xué)東直門醫(yī)院;中國中醫(yī)科學(xué)院西苑醫(yī)院;北京中醫(yī)藥大學(xué);首都醫(yī)科大學(xué)附屬北京中醫(yī)醫(yī)院;
【分類號】：R277.5
[Abstract]:Objective to study the syndromes distribution and combination characteristics of chronic glomerulonephritis. Methods the clinical information of 200 patients with chronic glomerulonephritis was collected and recorded by questionnaire, and the distribution and combination of TCM syndromes were summarized. Observe the distribution of TCM syndromes, the combination of dampness and heat syndrome and blood stasis syndrome, the dampness and heat syndrome group, the blood stasis syndrome group, WBC count (WBC), total cholesterol (CHO), hemoglobin (HGB), serum creatinine (SCr), urine protein quantitative index were compared among the three groups of damp-heat and blood stasis syndrome group. Results the main factors of TCM syndrome in 200 patients were dampness and heat, qi deficiency, blood stasis, liver stagnation and qi stagnation, water dampness, liver depression to turn fire, yang deficiency, yin deficiency, phlegm turbidity, external wind, liver and kidney yin deficiency, yin deficiency moving wind. Qi deficiency syndrome is the most frequent, and dampness and heat syndrome and blood stasis syndrome are higher in standard syndrome. There were significant differences in the levels of SCrand urine protein between the three groups (P0.05). The quantitative differences of urinary protein in the dampness heat and blood stasis syndrome group were higher than those in the blood stasis syndrome group and the damp-heat syndrome group (P0.05). Conclusion chronic glomerulonephritis is characterized by deficiency of qi, damp-heat syndrome and blood stasis syndrome. Dampness and heat and blood stasis may aggravate the consumption of positive qi through some synergistic effect.
【作者單位】： 中國中醫(yī)科學(xué)院廣安門醫(yī)院(南區(qū));北京中醫(yī)藥大學(xué)東直門醫(yī)院;中國中醫(yī)科學(xué)院西苑醫(yī)院;北京中醫(yī)藥大學(xué);首都醫(yī)科大學(xué)附屬北京中醫(yī)醫(yī)院;
【分類號】：R277.5
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