透析高血压与中医证候相关性研究

Correlation between Dialysis Hypertension and TCM Syndromes

目的：探讨透析高血压的中医证候的分布规律及相关性。方法：纳入MHD患者280例,采集透析患者的中医四诊信息进行辨证分型得出其中医证候规律,比较各证候的透析高血压患病率;比较不同透析情况下血压及证候分布情况。结果：（1）透析患者各中医证候的透析高血压患病率不同,其中湿浊证透析高血压患病率为79. 7%,高于其他标实证候（P 〈0. 05）。（2） 1周透析2次的患者收缩压、脾肾气虚证及湿浊证患病率较1周透析3次患者高,差异有统计学意义（P 〈0. 05）;而不同透析方式的患者其血压水平及证候分布差异无统计学意义（P〉 0. 05）。结论：湿浊证是透析高血压的高危证候,临床上需注意湿浊证的透析患者的其血压情况。

Objective： To explore the correlation rules between dialysis hypertension and TCM Syndromes. Methods： We discriminated the TCM syndromes by referring the standards of TCM syndromes of chronic kidney disease,contrasted the hypertension prevalence from different TCM syndromes,the blood pressure and TCM syndromes distribution from different dialysis condition. Results： The damp-turbidity syndrome has the statistical higher dialysis hypertension prevalence（79. 7%） than the other sthenia syndromes（P〈0.05）. A higher proportion of patients with Qi deficiency of spleen and kidney syndrome and damp-turbidity syndrome receive hemodialysis twice a week（P〈0.05）. In the two groups,the differentiation in prevalence rate of deficiency syndrome and excessive syndrome suggests no statistical significance. Conclusion： The damp-turbidity syndrome is the risk factor of dialysis hypertension.