维持性血液透析患者高血压的中医证候研究

Syndrome study on hemodialysis patients with hypertension

目的 探讨维持性血液透析者高血压痫的证候规律。方法本文采用“症状计量辨证方法”制定中医证候调查表，对105例维持性血液透析高血压病例进行调查，总结其中医证候规律。结果阴阳两虚证出现率届各正虚证候之首，其次是阴虚证、气阴两虚证、阳虚证，出现率最低的是气虚证。湿浊证出现率居邪实证型之首，然后依次是气滞证、血瘀证、水停证。结论该病主要证候特点是正虚为主，兼有邪实，虚实夹杂。

Objective To investigate the distribution of syndromes in hospitalized hypertensive patients with maintenance hemodialysis. Methods A investigation-table of Chinese medicine was established and used in 105 cases for survey in clinic to discover the regularity. Results The occurrence rate from high to low of asthenia syndrome symptoms was： deficiency syndrome of both yin and yang, yin asthenia, deficiency of both vital energy and yin, yang asthenia, and the deficiency of qi. The occurrence rate from high to low of evil domination was： turbid damp, stagnation of qi, blood stasis, and fluid stagnation. Conclusions The clinical feature of hypertensive patients with maintenance hemodialysis was mainly asthenia of healthy energy combining with sthenia evil.