【摘要】：目的:研究慢性腎臟病維持性血液透析患者的經(jīng)絡(luò)特征、體質(zhì)類型、證候特點(diǎn)及傳變規(guī)律。方法:采用中醫(yī)經(jīng)絡(luò)檢測儀診斷系統(tǒng)于透析前和透析6個(gè)月后進(jìn)行檢測維持性血液透析患者,并同期進(jìn)行中醫(yī)體質(zhì)辨識和中醫(yī)辨證。結(jié)果:透析后患者體質(zhì)以陰虛質(zhì)、陽虛質(zhì)、氣虛質(zhì)和瘀血質(zhì)最為常見,證型主要以脾腎氣虛、肝腎陰虛、氣陰兩虛;透析后患者的自律神經(jīng)系統(tǒng)、運(yùn)動狀態(tài)和體能等檢測數(shù)據(jù)升高,代謝狀態(tài)、精神狀態(tài)、檢測數(shù)據(jù)下降。透析前心經(jīng)、大腸經(jīng)、小腸經(jīng)、胃經(jīng)和膀胱經(jīng)正值向上,容易患實(shí)證;而三焦經(jīng)、脾經(jīng)、腎經(jīng)和肝經(jīng)負(fù)值向下,容易患虛證或慢性病。透析后肺經(jīng)、心包經(jīng)和膽經(jīng)基本處于正常能量區(qū);其他經(jīng)絡(luò)處于相對低能量區(qū)或相對高能量區(qū)。結(jié)論:透析后患者向虛性體質(zhì)轉(zhuǎn)化,脾腎氣虛、肝腎陰虛、氣陰兩虛為主要證型;經(jīng)絡(luò)檢測結(jié)果基本上反映了上述體質(zhì)和中醫(yī)證候的變化規(guī)律,可為臨床提供量化、客觀的診斷依據(jù)。
[Abstract]:Objective: to study the characteristics of meridians and collaterals, physique type, syndrome characteristics and transmission law of maintenance dialysis patients with chronic kidney disease. Methods: the maintenance hemodialytic patients were detected by the diagnostic system of traditional Chinese medicine meridians and collaterals before dialysis and 6 months after dialysis, and the physique identification and syndrome differentiation of traditional Chinese medicine were carried out at the same time. Results: after dialysis, the physique of the patients was yin deficiency, yang deficiency, qi deficiency and blood stasis, the main syndrome types were spleen and kidney qi deficiency, liver and kidney yin deficiency and deficiency of qi and yin. After dialysis, the self-discipline nervous system, motor state and physical ability of the patients were increased, metabolic state, mental state and detection data decreased. Before dialysis, the heart meridians, large intestine meridians, small intestine meridians, stomach meridians and bladder meridians were positive upward, which were easy to be proved, while the negative values of Sanjiao meridians, spleen meridians, kidney meridians and liver meridians were easy to suffer from deficiency syndrome or chronic diseases. After dialysis, the pulmonary meridians, pericardial meridians and bile meridians were basically in the normal energy region, while the other meridians and collaterals were in the relatively low energy region or relatively high energy region. Conclusion: after dialysis, the main syndrome types are deficiency of spleen and kidney, deficiency of yin of liver and kidney, deficiency of both qi and yin, and the results of meridian examination basically reflect the changes of physique and TCM syndromes, which can provide quantitative and objective diagnostic basis for clinic.
【作者單位】： 鄭州市中醫(yī)院;鄭州大學(xué);
【基金】：鄭州市普通科技攻關(guān)項(xiàng)目(20150127)-三種檢測方法對透析病人經(jīng)絡(luò)特征及傳變規(guī)律的觀察
【分類號】：R277.5

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