慢性肾衰竭营养不良患者中医证型分布特点研究  

Study on the Characteristics of Syndrome Distribution of Malnutrition in Chronic Renal Failure in Traditional Chinese Medicine

作　　者：李建英 于俊生 胡维华 杜雅静 刘先英 

机构地区：[1]青岛市海慈医疗集团,山东青岛266033

出　　处：《世界中西医结合杂志》2009年第10期724-726,共3页World Journal of Integrated Traditional and Western Medicine

基　　金：青岛市科技局基金资助项目(No.05-1-NS-75)

摘　　要：目的探讨慢性肾衰竭营养不良患者的中医证型分布规律。方法选择300例慢性肾衰竭营养不良患者,包括非透析患者126例、血液透析患者114例、腹膜透析患者60例,按SGA评分方法分为轻、中、重度营养不良,根据慢性肾衰竭中医辨证分型标准对所有入选患者进行辨证分型,探寻慢性肾衰竭营养不良的中医证型分布特点。结果慢性肾衰竭合并营养不良患者中,中医主证出现率以脾肾气虚证最高,阴阳两虚证最低。标实证中湿浊证出现率最高,其次为瘀血证。轻度营养不良患者中脾肾气虚证最多,随着营养不良程度加重,脾肾气虚证比例减少,阴阳两虚证比例明显增加。非透析患者以脾肾气虚证多见,透析后病人脾肾气虚证减少,阴阳两虚证明显增加。结论慢性肾衰竭营养不良患者中医证型分布与营养不良程度有一定相关性,采用肾替代治疗后对于患者中医证型分布有一定影响。Objective To investigate the rule of syndrome distribution of malnutrition in chronic renal failure（CRF）. Methods 300 cases of CRF malnutrition were selected,including 126 cases without dialysis, 114 cases with blood dialysis and 40 cases of peritoneal dialysis. According to SGA scoring method, the cases were divided into mild, moderate and serious degrees in severity. In light of the standard of syndrome differentiation of CRF in traditional Chinese medicine, the cases were differentiated into different types. The characteristics of syndrome distribution in CRF malnutrition were investigated in traditional Chinese medicine. Results In the cases of CRF malnutrition, of the chief syndromes, the incidence of qi deficiency of spleen and kidney was the highest and that of the deficiency of yin and yang was the lowest. Of excess syndromes,the incidence of turbid damp syndrome was the highest and blood stasis syndrome was of the second highest position. Of the cases of mild malnutrition, the incidence of qi deficiency of spleen and kidney syndrome was the highest. While malnutrition was getting worse, the proportion of qi deficiency of spleen and kidney syndrome decreased and that of deficiency of yin and yang syndrome increased apparently. Conclusion A certain of correlation exists between the syndrome distribution of CRF malnutrition in traditional Chinese medicine and the severity of malnutrition. Renal replacement therapy can impact syndrome distribution in traditional Chinese medicine to a certain extent.

关 键 词：慢性肾衰竭 营养不良 中医证型 

分 类 号：R723.13[医药卫生—儿科] R259.631[医药卫生—临床医学]