肾小球疾病中医辩证分型与血脂关系探讨

The Relationship between Blood Fat Content and Differentiation of Symptoms in Glomerulopathy

研究了６１例肾小球疾病血脂含量与中医辨证分型的关系，发现肝肾阴虚、脾肾气虚辨证血脂含量均高于正常值，而以肝肾阴虚组升高最为明显（Ｐ＜０．０１），提示血脂增高可能作为肝肾阴虚、脾肾气虚辨证分型参考指标之一。

According to the fact that glomerulopathy patients always suffer from atherosclerosis, secondary hyperlipemia, and have high risk from cardiovascular complications, it is noticed that there might be some relationship between those diseases and glomerulopathy. The blood fat content of 61 glomerulopathy patients and their differentiation of symptoms (DS) in Traditional Chinese Medicine (TCM) were analyzed and compared with those of the control group of 31 cases. Statistical analysis of t test and rectified t test was made. The values of ch, HDL-ch, ApoA_1 ,ApoB_100 in Yin - deficiency of liver and kidney (YDLK)and Qi-deficiency of both spleen and kidney (QDSK) were observed higher than those of the normal,and the most significant rising was found in YDLK groups(P<0. 01 ). It's thought that the incresing of blood fat content closely relate to the YDLK and QDSK in TCM ,and is an important factor that makes glomerulopathy and cardiovascular disease more serious. It is suggested that the increasing of blood fat could be used as a referential index of differentiation of symptoms and signs of YDLK and QDSK. By nourishing the liver and kidney, invigorating the spleen, and benefiting the kidney, Chinese medicine can improve fat metabolism of glomerulopathy patients, which is conducive to decreasing the incidence of cardiovascular sisease and reducing the mortality.