肾移植术前后中医证候学变化  

Changes of Chinese Medical Pattern before and after Renal Transplantation

作　　者：李响[1] 刘尚建[1] 李靖[1] 刘奎利[2] 蔡明[2] 钱业勇[2] 郭鸿波 王耀献[1] 

机构地区：[1]北京中医药大学东直门医院肾病中心,北京市东直门内海运仓5号100700 [2]中国人民解放军第三○九医院 [3]北京友谊医院

出　　处：《中医杂志》2007年第6期542-544,共3页Journal of Traditional Chinese Medicine

摘　　要：目的探讨肾移植术前后中医证候学变化。方法收集肾移植术后未见排斥反应和并发症的患者54例,研究其术前1天到术后28天期间的中医证候学特点。结果肾移植术后证候总频率呈逐步递减趋势。阴阳两虚、水湿、血瘀、湿热证频率呈递减趋势;肝肾阴虚、脾肾气虚证频率呈递增趋势;痰热、湿浊证频率呈先递增后递减的趋势。各证候术后积分与术前比较均有明显减少。结论肾移植早期的治疗原则应以治疗标实为主,以活血、清热、化湿浊痰饮为法。Objective To study changes of Chinese medical pattern before and after renal transplantation. Methods Totally 54 patients without rejection and complication were selected after renal transplantation. The characteristics of Chinese medical pattern were studied from the 1st day before surgery to the 28th day after surgery. Results The total pattern frequency decreased progres- sively. The pattern frequency of yin-yang deficiency, water damp, blood stasis and damp heat decreased progressively, while liver- kidney yin deficiency and spleen-kidney qi deficiency increased progressively. The pattern frequency of phlegm heat and damp turbidity increased progressively at first, then decreased. All pattern scores decreased obviously after surgery. Conclusion The therapeutical principle in earlier stage of renal transplantation should be eliminating tip repletion, and quickening the blood, clearing heat and transforming damp-turbidity and phlegm-rheum as methods.

关 键 词：肾移植 中医证候 特点 

分 类 号：R277.5[医药卫生—中医学]