糖尿病肾病中医分型肾脏叶间动脉彩色多普勒超声分析

ANALYSIS ON DOPPLER FREQUENENCY SPECTRUMIN RENAL INTERLOBAR ARTER OF DIABETIC NEPHRAPATHY ABOUT CHINESE MEDICINE TYPING

借助彩色多普勒频谱图，对糖尿病肾病患者肾脏叶间动脉血流参数进行分析，探讨该病中医分型的客观指标。方法：选择糖尿病肾病３５例，将其分为气阴两虚及阴阳两虚组，于每位患者双肾叶间动脉测量：收缩期峰值血流速度（ＶＳ）、舒张期末血流速度（ＶＤ）、平均血流速度（ＭＳ）、搏动指数（ＰＩ）、阻力指数（ＲＩ）。结果：气阴两虚组ＰＩ、ＲＩ值明显高于正常组（Ｐ＜０．０１），阴阳两虚组ＰＩ、ＲＩ明显高于气阴两虚组（Ｐ＜０．０５）；阴阳两虚组ＶＤ值高于气阴两虚组及正常组（Ｐ＜０．０１）；气阴两虚组与正常组比较无统计学差异。结论：糖尿病肾病气阴两虚及阴阳两虚组中ＰＩ及ＲＩ，可以作为糖尿病肾病中医分型的客观指标。

Objective: To investigate the objective index of traditional Chinese medicine typing by means of analysis bilateral renal interlobar artery blood velocity in diabetic renopathy patient using colorful Doppler frequence spectrum Methods: To devide 35 diabetic renopathy (DN) patient into two group: deficiency of both Qi and Yin (group A), deficieney of both Yin and Yang (groupB) Renal interlobar artery systolic blood maximal velocity (VS), enddiastolic blood velocity (VD),mean blood velocity (VM), pulse index (PI) and resistant index (RI) were measured in both group Results: The values of RI and PI in group B are significantly greay than in group A and in normal controls (P<005) The values of RI and PI in group are greater than in normal controls(P<001)But the VD value in group B is higher than in group A and in normal controls (P<001), whereas there is no statistics difference between group A and normal controls Conclusion: The values of PI and RI are significantly different between group A and