165例长期维持性血液透析肾性骨病患者中医证候分析

TCM Syndromes Analysis of 165 Patients with Renal Osteopathy on Maintained Hemodialysis

目的:以长期维持性血液透析(MHD)肾性骨病患者为研究对象,观察其中医症状及证候分布特征,初步归纳肾性骨病中医辨证标准。方法:采用中医症状量表对165例MHD肾性骨病患者症状进行横断面调查,对调查表症状变量进行因子分析,因子分析方法为主轴因子法,并进行最大方差法正交旋转,依据中医理论对症状因子进行定性,初步得出肾性骨病类证候群,结合慢性肾功能不全中医辨证标准相关内容,拟定肾性骨病类中医证候。结果:因子载荷阵提炼出5个主要因子,结合中医理论,因子1反映了肝肾阴虚证证候,因子2反映了浊毒内蕴证证候,因子3反映了肾阳虚衰证证候,因子4反映了水湿内停证证候,因子5反映了瘀血阻络证证候。结论:归纳肾性骨病患者主要证候表现为肝肾阴虚证、浊毒内蕴证、肾阳虚衰证、水湿内停证、瘀血阻络证5个基本证型。

Objective ：To analyze the characteristics of TCM syndrome of patients with renal osteodystrophy on maintained hemodialysis （MHD）. Methods： The patients symptoms, collected by a cross-sectional survey served as variables of the factor analysis which took use of the spindle factor method, accompanied with the method of the Maximum variance of orthogonal rotation. Results：Five main factors were inducted from the factor loading matrix. Conclusion：Renal osteopathy has 5 basic TCM syndromes as yin deficiency of liver and kidney syndrome, turbidity and toxin stagnation syndrome, yang deficiency of kidney syndrome, blood stasis syndrome and moisture Stagnation syndrome.