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42例男性狼疮性肾炎的中医辨证分型与病理类型相关性研究 被引量:9

Interrelated Study of Syndrome-type in TCM and Pathological Form on 42 Men Patients with Lupus Nephritis
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摘要 对 42例狼疮性肾炎患者进行了中医辨证分型与病理类型及实验室检查的相关性研究。结果表明 :系膜增殖性肾炎改变者以阴虚内热型多见 ,肝肾阴虚型次之 ;弥漫增殖性肾炎及膜性肾病改变者以热毒炽盛型及脾肾阳虚型为主 ;系膜增殖性肾炎与弥漫增殖性肾炎和膜性肾病改变与中医证型之间具有统计学意义 (P <0 0 1) ;2 4小时尿蛋白定量对阴虚内热型与热毒炽盛型或脾肾阳虚型具有辨证参考意义 ,统计学处理分别为P <0 0 5、P <0 0 1,差异显著 ;尿渗量异常阳性率显示阴虚内热型与脾肾阳虚两型差异显著 (P <0 0 5 ) ;热毒炽盛型与脾肾阳虚型补体C3异常阳性率相比较 ,P <0 0 5 ;小管间质改变轻重与肾功能是否正常亦明显相关 ,P <0 0 1;其中 ,病变较重的 10例中 ,热毒炽盛型 (5例 )和脾肾阳虚型 (4例 )有 9例 ,提示此两型预后不良。 To probe the objective index of differentiation of symptoms and signs of TCM on 42 men patients with lupus nephritis (LN),interrelation of syndrome type in TCM,pathological form and laboratory examination were investigated.Pathological changes(mesangial proliferative glomerulonephritis,diffuse proliferative glomerulonephritis and membranous nephropthy)in type of toxic heat flourishing,type of yin deficiency inner heat,type of deficiency of both spleen yang and Kidney yang and type of deficiency of both liver yin and kidney yin had obviously differentiation at varying degrees.Laboratory examinations (24 hours urine protein quantitation,Uosm and C 3) in four group syndrom type of TCM were also different.It showed that LN had some relationship between syndrome type in TCM and pathological form or laboratory examination.
出处 《湖北中医学院学报》 2000年第2期25-26,共2页 Journal of Hubei College of Traditional Chinese Medicine
关键词 狼疮性肾炎 病理类型 相关性研究 辨证分型 Lupus nephritis Syndrom type/TCM Pathological form Interrelated study
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