451例慢性肾脏病患者分期的中医症状及证候要素初探  

Preliminary Study on TCM Symptoms and Syndrome Factors in 451 Patients with Chronic Kidney Disease at Different Stages

作　　者：刘变玲[1] 孙霈[1] 李靖[1] 曹钋[1] 刘尚建[1] 钟剑[1] 

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《中医药信息》2012年第1期14-17,共4页Information on Traditional Chinese Medicine

基　　金：国家中医药管理局青年基金资助项目(06-07LQ02)

摘　　要：目的:初步探讨慢性肾脏病患者不同分期中医证候要素的分布情况,为中医临床辨证提供可能的参考。方法:采用描述性统计,初步探讨不同分期中医症状及证候要素的分布情况。结果:慢性肾脏病1、2期患者以脾肾气虚为主,兼有血瘀。3期以肝肾气阴两虚为主,可兼有不同程度的阳虚、血瘀证。4期以肝肾气阴两虚为主,兼脾肾阳虚、血瘀证及湿浊证。5期虚实夹杂,气血阴阳俱虚,阳虚证表现突出,兼挟湿浊、水气、血瘀证。结论:慢性肾脏病中医证候特点为本虚标实,血瘀证贯穿疾病的始终;本虚证从早期的气阴两虚证,逐渐发展到晚期的阴阳俱虚,标实证以血瘀证、湿浊证为主。Objective：Syndrome factors were studied preliminarily among 451 patients with chronic kidney disease of different stages, which can be a reference for the TCM clinical differentiation of syndrome. Methods ： Descriptive statistics were adopted, and TCM symptoms and syndrome factors were studied preliminarily. Results： Chronic kidney disease patients in stages one and two were mainly spleen - kidney Qi deficiency syndrome blood stasis syndrome. Patients in stage three were mainly liver - kidney Qi and Yin deficiency syndrome and varying degrees of Yang deficiency and blood stasis syndrome. Patients in stage four were mainly liver - kidney Qi and Yin deficiency syndrome, spleen- kidney Yang deficiency syndrome, waterdamp syndrome and blood stasis syndrome. Patients in stage five were deficiency and excess syndromes, which were Qi, xue, Yin and Yang deficiency syndroms, water - damp syndrome, retained water syndrome and blood stasis syndrome. Conclusion：TCM Syndrome character of chronic kidney disease is Ben - deficiency syndrome and the Biao - excess syndrome, and blood stasis syndrome is accompanied;The Ben - deficiency syndrome in early stages which are Qi and Yin deficiency is developed to Yin and Yang deficiency syndrome in the late stage. The Biao -excess syndrome is mainly characterized by water- damp syndrome and blood stasis syndrome.

关 键 词：慢性肾脏病 分期 中医证候 证素 

分 类 号：R277.5[医药卫生—中医学]