慢性肾衰竭不同中医证型与彩色超声特征相关性分析

Analysis There are relationship between color ultrasonic and the chronic renal failure patients with different TCM Syndrome

目的:探讨慢性肾衰竭不同中医证型患者与彩色超声(B超)的相关性。方法:随机选取128例慢性肾衰竭患者为研究对象,根据中医本虚标实分为本虚证(脾肾气虚证、脾肾阳虚证、脾肾气阴两虚、肝肾阴虚证、阴阳两虚证)和标实证(湿浊证、湿热证、水气证、血瘀证、风动证)两组,统计不同中医证型频数;然后从两组中筛选出仅本虚证和仅标实证与B超显示平均肾脏长度、平均肾脏体积及回声像强度的关系。结果:本虚证频数由高到低依次为脾肾气阴两虚、脾肾阳虚证、脾肾气虚证、肝肾阴虚证、阴阳两虚证,标实证频数由高到低依次为湿热证、血瘀证、湿浊证、水气证、风动证。其中仅标实证者25例,仅本虚证者41例。仅标实证患者平均肾长度长于仅本虚证(t=-24.978,P<0.01),仅标实证患者平均肾体积大于仅本虚证(t=-20.450,P<0.01)。仅本虚证以强回声型为主,与仅标实证比较,差异有统计学意义(t=4.733,P<0.05);仅标实证以等回声型为主,与仅本虚证比较,差异有统计学意义(t=12.582,P<0.01)。结论:慢性肾衰竭多虚实夹杂;仅标实证者以等回声型为主,肾脏相对增大;仅本虚证者以彩色超声强回声型为主,肾脏相对减小,慢性肾衰竭不同中医证型与彩色超声有一定的相关性。

Objective： To relationship between color ultrasonic and the cbronic renal failure patients with different TCM syndrome. Methods： There were 128 patients with CRF randomly selected as the research object,which were into root vacuity group （spleen-kidney Qi deficiency, spleen-kidney Yang deficiency, spleen-kidney Yin deficiency, liver and kidney Yin deficiency, Yin-Yang deficiency） and tip repletion group （wet material certificate, damp heat syndrome, moisture syndrome, blood stasis, stirring of wind） , according to root vacuity and tip repletion; frequency of different TCM syndrome types was counted;the relationship between root vacuity and tip repletion and average length of kidney, kidney volume on average and the echo as strength in color ultrasonic, was screened out. Results： The deficiency syndrome frequency was （from high to low） kidney-spleen Qi and Yin deficiency, spleen kidney Yang deficiency, spleen-kidney Qi deficiency, liver-kidney Yin deficiency,and Yin and Yang deficiency; the tip repletion fi＇equeney was （from high to low） damp heat syndrome, blood stasis, damp turbidity syndrome, moisture and stirring of wind. There were 25 cases only with tip repletion and 41 cases only with root vacuity. The patients only with tip repletion showed longer average renal length than the patients only with root vacuity （t=-24.978,P〈0.01）; The patients only with tip repletion showed more average renal volume than the patients only with root vacuity（t=-20.450,P〈0.01）. Patients only with root vacuity showed priority to strong echo type,and there was statistical difference, compared with patients only with tip repletion （t=4.733, P〈0.05）;Patients only with tip repletion showed priority to echo type, and there was statistical dif- ference, compared with patients only with root vacuity （t=12.582, P〈0.01）. Conclusion： Chronic renal failure mainly showed defi- ciency-excess complex; Patients only with tip repletion showed priority to echo type, with enlargement of kidney; Patients only with root vacuity showed priority to strong echo type, with atrophy of kidney.