尿毒症心肌病中医证候学回顾性调查

Retrospective Review of TCM Syndrome on Uremic Myocardiopathy

目的:初步观察尿毒症心肌病中医证候学特征。方法:对106例尿毒症心肌病患者的中医证候学特征进行临床回顾性的分析研究,观察中医正虚证与邪实证的分布特点。结果:尿毒症心肌病均表现为虚实夹杂证,其中虚证以脾肾气虚及脾肾阳虚最为多见;邪实证以湿浊证及瘀血证最为多见,且多见两种以上邪实证兼夹。结论:气阳不足为尿毒症心肌病的病变基础,正虚证与邪实证的兼夹为尿毒症心肌病的临床特征。

Objective： To observe the characteristic of TCM syndrome about uremic myocardiopathy initially. Method： 106 cases with uremic myocardiopathy were analyzed by retrospective review to summarize its characteristic of TCM syndrome, and observe the distribution features of healthy energy asthenia syndrome and evil sthenia syndrome. Result： Uremic myocardiopathy displayed asthenia and sthenia inclusive syndrome. Deficiency of splenonephro-qi and asthenic splenonephro-yang were more than other syndromes. About evil sthenia syndrome, turbid damp syndrome and blood stasis syndrome were more than others, and two evils sthenia syndromes always displayed at the same time. Conclusion ： Yang deficiency is the base of pathological changes of uremic myocardiopathy, and healthy energy asthenia syndrome and evil sthenia syndrome displaying at the same time is its clinical feature.