慢性肾衰中医证型与动静脉内瘘相关性分析研究  

Study on effect of arteriovenous fistuloplasty on chronic renal failure patients with different traditional Chinese medicine syndromes

作　　者：熊清玓 徐媖 黄玲 朱巨奇 XIONG Qing-di;XU Ying;HUANG Ling(Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang 332000,China)

机构地区：[1]九江市中医医院,332000

出　　处：《中国实用医药》2023年第6期15-20,共6页China Practical Medicine

基　　金：江西省中医药管理局课题(项目编号:2021A145)。

摘　　要：目的 探究动静脉内瘘成形术对不同中医证型慢性肾衰患者的效果。方法 180例不同中医证型慢性肾衰患者,均进行动静脉内瘘成形术治疗。比较正虚证和标实证不同分型患者动静脉内瘘术后情况及手术前后正虚证和标实证不同分型患者的内瘘血管直径、内瘘血流量。结果 术前及术后6个月、1年,脾肾气虚证内瘘血管直径分别为(6.92±0.53)、(6.42±0.42)、(6.29±0.45)mm,脾肾阳虚证分别为(6.95±0.54)、(6.53±0.45)、(6.22±0.42)mm,肝肾阴虚证分别为(6.89±0.51)、(6.83±0.46)、(6.78±0.39)mm,气阴两虚证分别为(6.93±0.52)、(6.86±0.43)、(6.75±0.41)mm,阴阳两虚证分别为(6.91±0.50)、(6.85±0.44)、(6.78±0.38)mm。术前及术后6个月、1年,脾肾气虚证内瘘血流量分别为(632.63±21.50)、(577.63±20.55)、(565.47±13.35)ml/min,脾肾阳虚证分别为(631.51±26.51)、(575.29±20.68)、(563.59±13.41)ml/min,肝肾阴虚证分别为(633.49±27.19)、(625.55±26.69)、(621.68±26.31)ml/min,气阴两虚证分别为(632.75±27.33)、(625.67±25.88)、(620.58±25.59)ml/min,阴阳两虚证分别为(631.58±26.96)、(623.71±26.37)、(619.65±26.51)ml/min。术前,脾肾气虚证、脾肾阳虚证、肝肾阴虚证、气阴两虚证、阴阳两虚证的内瘘血管直径和内瘘血流量比较差异无统计学意义(P>0.05);术后6个月及术后1年,脾肾气虚证与脾肾阳虚证的内瘘血管直径和内瘘血流量均显著小于肝肾阴虚证、气阴两虚证、阴阳两虚证,差异具有统计学意义(P<0.05)。术前及术后6个月、1年,水湿证内瘘血管直径分别为(6.90±0.56)、(6.73±0.45)、(6.32±0.42)mm,湿热证分别为(6.93±0.52)、(6.76±0.47)、(6.30±0.41)mm,血瘀证分别为(6.92±0.55)、(6.39±0.41)、(6.10±0.38)mm,溺毒证分别为(6.95±0.53)、(6.79±0.46)、(6.35±0.44)mm。术前及术后6个月、1年,水湿证内瘘血流量分别为(632.68±25.42)、(611.49±25.39)、(606.43±24.08)ml/min,湿热证分别为(630.22±26.08)、(613.5Objective To investigate the effect of arteriovenous fistuloplasty on chronic renal failure patients with different traditional Chinese medicine syndromes.Methods There were 180 patients with different traditional Chinese medicine syndromes of chronic renal failure,and all were treated with arteriovenous fistuloplasty.The postoperative condition of arteriovenous fistula in patients with different traditional Chinese medicine syndromes,and the vessel diameter and blood flow of internal fistula in patients with different traditional Chinese medicine syndromes before and after surgery were compared.Results Preoperatively and 6 months and 1 year postoperatively,the vessel diameters of internal fistula were(6.92±0.53),(6.42±0.42),and(6.29±0.45)mm for patients with spleen-kidney qi deficiency syndrome,(6.95±0.54),(6.53±0.45),and(6.22±0.42)mm for patients with spleen-kidney yang deficiency syndrome,(6.89±0.51),(6.83±0.46),and(6.78±0.39)mm for patients with yin deficiency of liver and kidney syndrome,(6.93±0.52),(6.86±0.43),and(6.75±0.41)mm for patients with qi-yin deficiency syndrome,and(6.91±0.50),(6.85±0.44),and(6.78±0.38)mm for patients with yin-yang deficiency syndrome.Preoperatively and 6 months and 1 year postoperatively,the blood flow of internal fistula were(632.63±21.50),(577.63±20.55),(565.47±13.35)ml/min for patients with spleen-kidney qi deficiency syndrome,(631.51±26.51),(575.29±20.68),(563.59±13.41)ml/min for patients with spleen-kidney yang deficiency syndrome,(633.49±27.19),(625.55±26.69),(621.68±26.31)ml/min for patients with yin deficiency of liver and kidney syndrome,(632.75±27.33),(625.67±25.88),(620.58±25.59)ml/min for patients with qi-yin deficiency syndrome,and(631.58±26.96),(632.71±26.37),(619.65±26.51)ml/min for patients with yin-yang deficiency syndrome,respectively.Preoperatively,the diameter and blood flow of the internal fistula among patients with spleen-kidney qi deficiency syndrome,spleen-kidney yang deficiency syndrome,yin deficiency of liver and kidney synd

关 键 词：慢性肾衰 中医证型 动静脉内瘘成形术 

分 类 号：R277.5[医药卫生—中医学]