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248例糖尿病肾病患者分期辨证分析 被引量:29

Clinical Phases and TCM Syndrome Differentiation of Diabetic Nephropathy: An Analysis of 248 Cases
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摘要 为寻求中西医结合诊治糖尿病肾病的较佳模式,观察了248例糖尿病肾病患者的西医分期和中医辨证情况。结果:248例患者中,早期糖尿病肾病有87例,中医辨证为气阴两虚证者62例,占71.26%;临床期糖尿病肾病有133例,中医辨证为阴阳两虚证者103例,占77.44%;终末期糖尿病有28例,中医辨证为阳衰湿浊瘀阻证者24例,占85.71%。提示:在糖尿病肾病分期辨证中,早期、临床期和终末期三期病人的中医辨证均有明显侧重。认为:对糖尿病肾病患者采用西医分期和中医辨证相结合的诊治模式是可行的。 To find a better method for the diagnosis and treatment of diabetic nephropathy (DN), the relationship between the clinical phases and TCM syndrome differentiation of DN were observed in 248 cases. The results showed that there were 62 cases ( 71.26% ) with Qi and Yin deficiency syndrome in 87 cases of early stage of DN, 103 ( 77.44% ) with Yin and Yang deficiency syndrome in 133 of clinical stage of DN and 24( 85.71% ) with Yang failure and stagnation of dampness and blood in 28 of late stage of DN.It is indicated that there are specific TCM syndromes in different clinical phases of DN and the combination of clinical phases and TCM syndrome differentiation is a better pattern for the diagnosis and treatment of DN.
出处 《广州中医药大学学报》 CAS 1998年第4期260-262,共3页 Journal of Guangzhou University of Traditional Chinese Medicine
关键词 糖尿病肾病 病机 气阴两虚 阴阳两虚 DIABETIC NEPHROPATHIES/pathogenesis(TCM) Ql-YIN DEFICIENCY/pathogenesis(TCM) YIN-YANG CONCURRENT DEFICIENCY/pathogenesis(TCM) @YANG FAILURE AND STAGNATION OF DAMPNESS /pathogenesis(TCM)
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参考文献1

  • 1钱荣立.糖尿病肾病的早期诊断与治疗[J]实用内科杂志,1989(05).

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