慢性肾功能衰竭中医证候学的临床研究

A Clinical Study on TCM Syndrome Patterns of Chronic Renal Failure

目的:观察慢性肾功能衰竭(CRF)与中医证型的关系。方法:选择慢性肾功能衰竭各期患者210例,根据中医辨证分型表格观察中医正虚证和邪实证分布情况及中医正虚证与邪实证兼夹情况。结果:CRF正虚证以脾肾气虚型最为多见,其次为气阴两虚型,最少为阴阳两虚型。而且CRF可同时出现两个或多个邪实证的临床表现,以尿毒症出现各种邪实证候最多。结论:正虚证与邪实证的兼夹出现是CRF的临床特征,尤其是晚期CRF证候有相当的复杂性。

Objective: To observe the relationship between chronic renal failure (CRF) and TCM syndrome patterns. Methods: 210 cases of CRF in various stages were observed, and the distribution of syndrome with health - qi deficiency, pathogenic factor hy-peractivity and combination of both were analyzed according to TCM syndrome differentiation table. Results: The deficiency of spleen - qi and kidney - qi pattern was mostly seen in CRF, the deficiency of qi and yin pattern was lesser, and the deficiency of yin and yang pattern was the lest. The manifestation of hyperactivity of two or more pathogenic factors may appear simultaneously, especially in uremia. Conclusion: The simultaneous appearance of healthy - qi deficiency syndrome and pathogenic factor hyperactivity syndrome is the clinical characteristics of CRF and is rather complicated in the late stage of CRF.