维持性血液透析失眠患者中医证型分布调查研究  

Investigation on distribution of Traditional Chinese Medicine syndromes in maintenance hemodialysis patients with insomnia

作　　者：刘泽萍 宋慧锋[1] 徐铌 鲁鹏[1] 吴兴波[1] LIU Zeping;SONG Huifeng;XU Ni;LU Peng;WU Xingbo(Blood Purification Center,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510405)

机构地区：[1]广州中医药大学第一附属医院血液净化室,广东广州510405

出　　处：《中西医结合护理（中英文）》2020年第5期70-73,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析维持性血液透析失眠患者的中医证型分布规律。方法对278名维持性血液透析患者进行调查,筛查出失眠患者,并分析失眠患者的一般资料及中医证型情况。结果278例维持性血液透析患者中,筛查出131(47.12%)例失眠患者。129例患者失眠5个中医证型按比例由多到少依次为心脾两虚、心肾不交、肝火扰心、痰热扰心、心胆气虚,其中以心脾两虚、心肾不交2个证型最为常见,两者累计占比78.29%;证型以虚证为主,占82.94%。不同性别、年龄及透析龄患者之间的证型构成比比较,差异均无统计学意义(P>0.05)。结论维持性血液透析失眠患者的中医证型以虚证为主,分布特点与年龄、性别、透析龄无关。Objective To analyze the distribution of Traditional Chinese Medicine(TCM)syndromes in maintenance hemodialysis patient with insomnia.Methods A screening for insomnia was conducted with 278 maintenance hemodialysis.The patients’clinical data and related TCM syndromes were analyzed.Results Of 278 maintenance hemodialysis,113(47.12%)patients had suffered from insomnia.The most two common TCM syndromes were heart-spleen deficiency and heart-kidney imbalance(with a cumulative proportion of 78.29%),followed by liver-fire harassing the heart,phlegm-fire harassing the heart and heart-gallbladder qi deficiency.The majority of patients had suffered from deficiency syndromes,accounting for 82.94%.There was no significant difference in distribution of TCM syndromes between patients with different gender,age and year of hemodialysis(P>0.05).Conclusion The deficiency syndrome is the most common TCM syndrome in maintenance hemodialysis patient with insomnia,and there was no relationship between patients’gender,age,year of hemodialysis and distribution of TCM syndromes.

关 键 词：维持性血液透析 失眠 中医证型 中西医结合护理 

分 类 号：R248.1[医药卫生—中医临床基础]