265例糖尿病肾病肾功能不全患者中医证候学研究  

A Study of TCM Syndrome Pattern in 265 Cases of Diabetic Renal Insufficiency

作　　者：牟新[1] 周旦阳[1] 赵进喜[2] 

机构地区：[1]杭州市红十字会医院内分泌科,浙江杭州310003 [2]北京中医药大学东直门医院内分泌科,北京100000

出　　处：《新中医》2007年第5期84-85,共2页New Chinese Medicine

基　　金："十五"国家科技攻关项目(编号:2001BA701A13c)

摘　　要：目的:探索糖尿病肾病肾功能不全期中医辨证规律。方法:按照课题组统一制定的调查表对糖尿病肾病肾功能不全患者进行调查,采集265例符合标准的糖尿病肾病患者的中医四诊信息,对中医证型的分布规律进行分析和归纳。结果:糖尿病肾病肾功能不全代偿期患者本虚证以气虚和阴虚证为主要表现,标实证以痰湿、湿浊和血瘀为主要表现;失代偿期患者本虚证以阳虚为主要表现,标实证以痰温和血瘀为主要表现。糖尿病肾病肾功能不全期患者证候多虚实夹杂。结论:糖尿病肾病肾功能不全代偿期患者以气虚证、阳虚证和阴虚证为主,而失代偿期则主要以阳虚证的临床表现为主。标实证候的痰湿证和血瘀证则贯穿整个疾病的发展过程,这和传统认为的糖尿病及其并发症的病机相吻合。Objective: To explore the regularity of TCM syndrome differentiation of diabetic renal insufficiency (DRI). Methods Cases of CRI were surveyed according to the requirement of investigation table. The information of four diagnostic methods in 265 cases of DRI was collected, and the distribution regularity of TCM syndrome pattern was analyzed and summarized. Results: The deficiency syndrome in primary aspect was mainly manifested as qi - and yin - deficiency syndrome in decompensated phase of CRI, and the excess syndrome in secondary aspect mainly as phlegm - damp and blood - stasis syndrome The syndrome pattern of DRI was usually manifested as combination of deficiency and excess syndrome. Conclusion: DRI in compensated phase is mainly manifested as qi -, yang - and yin - deficiency syndrome and its late stage in decompensated phase mainly as yang - deficiency syndrome.. The excess syndrome is secondary aspect including phlegm - damp syndrome and blood - stasis syndrome exists throughout the course of the disease. This identical with the traditional knowledge about the pathogenesis of diabetes mellitus and its complications.

关 键 词：糖尿病肾病 证候 辨证规范化 

分 类 号：R259.872[医药卫生—中西医结合]