糖尿病肾病Ⅲ、Ⅳ期的中医证型及与节气的关系研究

Research on TCM Syndromes Correlated with the Solar Terms in Diabetic Nephropathy Ⅲ、Ⅳ Patients

目的研究Ⅲ期及Ⅳ期糖尿病肾病的中医证型分布特点,观察糖尿病肾病住院时的节气,了解糖尿病肾病发病季节特点。方法收集301例糖尿病肾病患者的临床资料,其中Ⅲ期185例,Ⅳ期116例,对不同分期糖尿病肾病患者的中医证型进行描述性统计分析并探讨其分布规律。结果证型与季节相关。糖尿病肾病Ⅲ期以气阴两虚证型69例(37.3%)最为多见,发病节气夏季64例(34.6%)最多见。糖尿病肾病Ⅳ期以痰瘀互结44例(38.6%)为最多见,发病节气冬季38例(32.8%)最多见。结论糖尿病肾病分期中医证型病机特点与发病节气相符合。提示夏秋季节可适当增加益气养阴药物,冬季用药应适当增加温补肾阳药物。

Objective To study distribution characteristics of TCM syndromes correlated with the solar terms in diabetic nephropathy Ⅲ, Ⅳ Patients. Understanding the pathogenesis of diabetic nephropathy seasonal characteristics.Methods 301 cases of diabetic nephropathy patients, including 185 cases Ⅳ stages and 116 cases in Ⅳ stages are descripted statistical analysis and investigate the distribution, according to TCM syndromes.Results Syndromes： Yin Deficiency Syndromes of 69 （37.3%） is the most common in diabetic nephropathy Ⅲ, the incidence solar terms summer 64 cases （34.6%） the most common. Phlegm and Blood Bolck Syndromes of 44 cases （38.6%） was the most common in diabetic nephropathy Ⅳ,the incidence of solar terms winter 38 cases （32.8%） the most common.Conclusion Diabetic nephropathy staging TCM syndromes pathogenesis characteristics consistent with the onset of solar terms.In summer and fall season Yiqiyangyin drugs may be increased,and in winter warming yang drugs should be increased.