慢性肾功能衰竭患者虚证脉象特征研究

Study of Pulseogram Parameters on Differentiation of TCM in Chronic Renal Failure

目的:探讨慢性肾功能衰竭(CFR)四证型(脾肾气虚、脾肾阳虚、肝肾阴虚、阴阳两虚型)脉图参数的变化,建立各证型判别式,辅助临床诊断。方法:采用ZM-Ⅲ型智能脉象仪分别检测CRF患者四型脉图参数。结果:脉图参数h1、h3、h3/h1、w/t及As值肝肾阴虚型最高,脾肾气虚型最低,脾肾阳虚、阴阳两虚介于二者之间;并建立了四证型函数判别式;将所测数据进行组内回代检验,脾肾气虚判别正确率为70%,脾肾阳虚为66.81%,肝肾阴虚为69.18%,阴阳两虚为61.91%。结论:提示脉图可作为慢性肾功能衰竭中医辨证的客观指标之一。

Objective：This experiment was done discuss Pulseogram Parameters in patterns of spleen-kidney Qi dificiency,spleen-kidney yang deficiency,Liver-kidney yin deficiency;and duel yin and yang deficiency in chronic renal failure.To build descriptive formula of four patterns of CRF.It will help clinical diagnosis for chronic renal failure.Methods：pulseogram parameters were tested by ZM-Ⅲ pulse-insrument.Results：pulseogram parameters in four patterns of CRF had characteristic changes.values of h1,h3,h3/h1,w/t and As in the pattern of liver-kidney yin deficiency were significantly higher than those in other three patterns.Values of h3,h3/h1,w/t and As were significantly lower than those in other three patterns.The values in patterns of spleen-kidney yang deficiency and duel yin and yang deficiency were within the vulues in spleen-kidney Qi deficiency and Liver-kidney yin deficiency.Conclusion：pulseogram parameters of h1,h3/h1,w/t,As could be used as objective indexes for diagnosing CRF in clinic.