摘要
目的分析维持性血液透析失眠患者的中医证型分布规律。方法对278名维持性血液透析患者进行调查,筛查出失眠患者,并分析失眠患者的一般资料及中医证型情况。结果278例维持性血液透析患者中,筛查出131(47.12%)例失眠患者。129例患者失眠5个中医证型按比例由多到少依次为心脾两虚、心肾不交、肝火扰心、痰热扰心、心胆气虚,其中以心脾两虚、心肾不交2个证型最为常见,两者累计占比78.29%;证型以虚证为主,占82.94%。不同性别、年龄及透析龄患者之间的证型构成比比较,差异均无统计学意义(P>0.05)。结论维持性血液透析失眠患者的中医证型以虚证为主,分布特点与年龄、性别、透析龄无关。
Objective To analyze the distribution of Traditional Chinese Medicine(TCM)syndromes in maintenance hemodialysis patient with insomnia.Methods A screening for insomnia was conducted with 278 maintenance hemodialysis.The patients’clinical data and related TCM syndromes were analyzed.Results Of 278 maintenance hemodialysis,113(47.12%)patients had suffered from insomnia.The most two common TCM syndromes were heart-spleen deficiency and heart-kidney imbalance(with a cumulative proportion of 78.29%),followed by liver-fire harassing the heart,phlegm-fire harassing the heart and heart-gallbladder qi deficiency.The majority of patients had suffered from deficiency syndromes,accounting for 82.94%.There was no significant difference in distribution of TCM syndromes between patients with different gender,age and year of hemodialysis(P>0.05).Conclusion The deficiency syndrome is the most common TCM syndrome in maintenance hemodialysis patient with insomnia,and there was no relationship between patients’gender,age,year of hemodialysis and distribution of TCM syndromes.
作者
刘泽萍
宋慧锋
徐铌
鲁鹏
吴兴波
LIU Zeping;SONG Huifeng;XU Ni;LU Peng;WU Xingbo(Blood Purification Center,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510405)
出处
《中西医结合护理（中英文）》
2020年第5期70-73,共4页
Journal of Clinical Nursing in Practice
关键词
维持性血液透析
失眠
中医证型
中西医结合护理
maintenance hemodialysis
insomnia
Traditional Chinese Medicine syndromes
nursing of integrated traditional Chinese and western medicine
