慢性肾衰竭合并高血压的中医证候分布规律  

Distribution Regularity of TCM Syndromes of Chronic Renal Failure and Hypertension.

作　　者：赵静[1] 杨坤杰[1] 张胜容[1] 刘宝利[1] 赵文景[1] 葛楠[1] 孟元[1] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中医药导报》2015年第17期5-8,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：首都医学科技发展基金资助课题(慢性肾衰竭中成药治疗方案的规范化研究;SF-2009-I-06)

摘　　要：目的:探讨慢性肾衰竭合并高血压的中医证型分布规律。方法:对278例慢性肾衰竭患者及其主诊医师进行问卷调查,将采集的病例进行统计学处理,分析慢性肾衰竭合并高血压患者的中医证候分布规律。结果:278例病例中慢性肾衰竭合并高血压194例(69.8%),中医证型虚证以脾肾气虚最为常见,气阴两虚次之,实证以湿热、湿浊为最常见,血瘀、浊毒次之。结论:慢性肾衰竭合并高血压中医证型多见虚实夹杂,虚证以脾肾气虚最为常见,实证以湿热、湿浊最为常见。Objective： To understand the distribution regularity of TCM Syndromes of chronic renal failure and hypertension. Methods： A survey was conducted with the 278 patients and their doctors, to process the data using the statistics method, and the distribution regularity of TCM Syndromes of chronic renal failure and hypertension was analyzed. Results： There were 194 cases （69.8%） of chronic renal failure complicated with hypertension among the 287 cases; deficiency in spleen and kidney qi deficiency is the most common TCM Syndromes, followed by Qi and yin deficiency; damp heat and dampness demonstration is the most common excess syndrome, followed by blood stasis and turbidity toxin times. Conclusion： Intermingled deficicncy and excess is the most common syndrome of renal failusr plus hypertension; spleen-kidney Qi deficiency is the most common defi- cient syndromre and damp heat as well as dampness demostration is the most common excess syndrome.

关 键 词：慢性肾衰竭 高血压 证候分布 

分 类 号：R256.5[医药卫生—中医内科学]