摘要
目的:探讨慢性肾功能衰竭(CRF)患者中医虚证证候分布规律。方法:对180例CRF患者进行调查,研究其中中医虚证证候分布特点。结果:CRF患者虚证以脾肾气阴两虚为主,占45.6%;脾肾气虚、脾肾阳虚次之,分别占20.0%与17.8%;阴阳两虚证占10.6%,肝肾阴虚证占6.1%。同时,CRF患者虚证证侯分布有其阶段性,代偿期、失代偿期、衰竭期以脾肾气阴两虚和脾肾气虚为主;尿毒症期虽然仍以气阴两虚为主,但脾肾阳虚和阴阳两虚均有所增加;肝肾阴虚散见于各期。结论:脾肾气阴两虚证为CRF虚证的主要证型。
Objective：To explore the syndrome distribution law of chronic renal failure in Chinese medicine. Methods： The investigation was underway among 180 cases of chronic renal failure,including name, sex, age, duration of sickness, primary disease, etc. The statistical software was adopted for datum management. Results：Qi and yin deficiency of spleen and kidney was predominated, covering 45.6%. Qi deficiency of spleen and kidney, and yang deficiency of spleen and kidney were on the secondary role,covering 20.0% and 17.8% respectively. Deficiency of yin and yang occupied 10.6% and yin deficiency of liver and kidney 6.1%. Additionally, it was discovered that the syndrome distribution presented its staging characteristics. In the stages of compensation, deeompensation and failure, qi and yin deficiency of spleen and kidney, and qi deficiency of spleen and kidney were predominated. In the stage of uremia, although qi and yin deficiency was more dominated, the percentages of yang deficiency of spleen and kidney,and yin and yang deficiency were all increased. Yin deficiency of liver and kidney was distributed in every stage. Conclusion：Qi and yin deficiency of spleen and kidney is the major syndrome of chronic renal failure. But, in different stages, the deficiency presents various characteristics. The duration of chronic renal failure is quite long;hence,it is very important to grasp correctly predominate pathogenesis and their changes in different stages for the differentiation of syndromes and determination of treatment.
出处
《世界中西医结合杂志》
2008年第7期417-418,共2页
World Journal of Integrated Traditional and Western Medicine
关键词
慢性肾功能衰竭
虚证
中医证侯
Chronic renal failure
deficiency syndrome
syndrome
