维持性血液透析患者中医证候特点研究  

Study on TCM syndrome characteristics in patients on maintenance hemodialysis

作　　者：赫岩[1] 张守琳[1] 邹迪[1] HE Yan;ZHANG Shoulin;ZOU Di(Department of Nephrology,Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学附属医院肾病内科,长春130021

出　　处：《吉林中医药》2023年第1期52-56,共5页Jilin Journal of Chinese Medicine

基　　金：吉林省中医药科技项目(2021041)。

摘　　要：目的研究尿毒症维持性血液透析患者的中医证候学特点。方法结合纳入与排除标准,选择长春中医大学附属医院肾内科透析中心规律性血液透析病人,通过横断面调查,分析研究对象的病历资料,对其进行询问、核查以及收录,根据结果完成《中医证候临床观察表》的各项内容。结果392例尿毒症维持性血液透析患者中,阴阳两虚患者占比最多(33.41%),其次是气阴两虚患者(24.23%)与脾肾阳虚患者(18.62%)。患者中患有肝肾阴虚以及脾肾气虚在数量上比较接近,且数量相对来说较少;在标实兼证的患者里,血瘀证最为常见,湿热证排在次位,然后是水气证以及风动证。脾肾气虚、脾肾阳虚或是肝肾阴虚的病人群体中,症状属于合并血瘀证的患者占多数;气阴两虚以及阴阳两虚的病人群体中,症状兼夹湿热,除此之外存在血瘀证患者占多数;风动证以及水气证只出现在患有肝肾阴虚、气阴不足或阴阳两虚的患者群体里。结论尿毒症维持性血液透析患者阴阳两虚证兼血瘀证最为多见。Objective Absrtact:Objective To study the TCM syndrome characteristics in patients on maintenance hemodialysis for uremia.Methods According to the inclusion and exclusion criteria,regular hemodialysis patients in the dialysis center of the nephrology department of the affiliated hospital of Changchun University of Chinese Medicine were selected as the study subjects,and their medical records were analyzed in depth,interrogated,checked and included through a cross-sectional survey.According to the results,the contents of the Clinical Observation Table of Chinese Medicine Syndromes were completed.Results Among the 392 uremic patients on maintenance hemodialysis,the proportion of patients with deficiency of both yin and yang was the most prominent,accounting for 33.41%of the total number of patients investigated,followed by those with deficiency of both qi and yin and those with yang deficiency of spleen and kidney,accounting for 24.23%and 18.62%,respectively.Among all the patients,those with yin deficiency of liver and kidney and qi deficiency of spleen and kidney were close in number and relatively small.Among the patients with excessive manifestations,the syndrome of blood stasis was the most common,with the syndrome of damp-heat in the second place,followed by the syndrome of water qi and moving wind.Patients with qi deficiency of spleen and kidney,yang deficiency of spleen and kidney,or yin deficiency of liver and kidney were mostly combined with the syndrome of blood stasis.Patients with deficiency of both qi and yin and deficiency of both yin and yang were combined with damp-heat,followed by those combined with the syndrome of blood stasis.The syndrome of moving wind and the syndrome of water qi were only found in patients with yin deficiency of liver and kidney,deficiency of qi and yin or deficiency of both yin and yang.Conclusion Uremic maintenance hemodialysis patients with deficiency of both yin and yang combined with the syndrome of blood stasis are the most common.

关 键 词：中医证候 维持性血液透析 横断面调查 

分 类 号：R256.59[医药卫生—中医内科学]