106例慢性肾脏病贫血中医证候分布规律探讨

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1、106例慢性肾脏病贫血中医证候分布规律探讨邹新蓉1张文菲21.湖北省中医院湖北武汉430061；2.武汉市中医医院湖北武汉430061【摘要】目的：探讨慢性肾脏病(CKD)贫血中医证候分布规律，为慢性肾脏病的中医辨证论治治疗提供依据。方法：回顾选取2012年3月至2013年9月湖北省中医院肾病科门诊确诊为慢性肾脏病3〜5期贫血患者106例，对患者症状和体征进行提取分析，进行中医辨证分型，分为木虚证和标实证，探讨其证型分布规律。结果：①总体上肾性贫血中医证型木虚证以脾肾气虚证、肝肾阴虚证为主，标实证以湿热证为主；②性别分组中肾性贫血

2、中医证型在男性以脾肾气虚证为主，女性以肝肾阴虚证为主；③年龄与肾性贫血中医证型分布无相关性；④CKD分期木虚证CKD3期以脾肾气虚证为主、CKD4期以肝肾阴虚证为主、标实证CKD5期以浊毒证为主；⑤CKD其他并发症组中并发甲旁亢木虚证以肝肾阴虚为主，标实证以湿热证为主；并发心血管事件组木虚证以脾肾气虚主，标实证以湿浊证为主。结论：肾性贫血中医证型与患者性别、CKD分期、并发CKD其他并发症有关，与年龄无关。【关键词】慢性肾脏病；贫血；中医证型【中图分类号】R962【文献标识码】B【文章编号】1674-8999(2015)9-059

3、3-02【Abstract】Objective：Toexploreanemiaofchronickidneydisease(CKD)distributionregularityofTCMsyndrometypes.Methods：Reviewtheclinicdiagnosisof106patientswithchronickidneydisease(CKD)3-5)anemiainDepartmentofNephrology,AffiliatedHospitalofHubeiUniversityofTCMselectioninM

4、arch2012toSeptember2013，extracttheanalysiswascarriedoutonthepatientswithsymptomsandsigns,todivideintotraditionalChinesemedicinesyndrometypes.Therearethedeficiencysyndromeandthedemonstrationsyndrome,Anddiscussthecardtypedistribution.Results：①Onthewhole,thisdeficiencysy

5、ndromeofTCMsyndrometypesofrenalanemiainspleenandkidneydeficiencysyndrome,liverandkidneyYindeficiencysyndromeisgivenpriorityto,thedemonstrationisgivenprioritytowithdampheatsyndrome;②SexrenalanemiainTCMsyndrometypesinmenisgivenprioritytowithspleenandkidneydeficiencysynd

6、rome,womenisgivenprioritytowithliverandkidneyYindeficiencysyndrome;③AgeandrenalanemiaTCMsyndrometypedistributionwithoutcorrelation;④CKDstagethisdeficiencysyndromeCKD3isgivenprioritytowithspleenandkidneydeficiencysyndrome,CKD4periodisgivenprioritytowithliverandkidneyYi

7、ndeficiencysyndrome,theempiricalCKD5periodisgivenprioritytowithturbiditytoxinsyndrome;⑤OthercomplicationsofCKDinthegroupofconcurrentnearaportofthisdeficiencysyndromeisgivenprioritytowithliverandkidneyYindeficiency,thedemonstrationisgivenprioritytowithhotandhumidcard;T

8、hisdeficiencysyndromecomplicatedwithcardiovasculareventgroupinspleenandkidneydeficiency,thedemonstrationisgivenprioritytowit