糖尿病肾病彩色多普勒超声诊断及中医辨证分型

Diagnosis of color Doppler ultrasonography and TCM differentiation of diabetic nephropathy

目的:研究糖尿病肾病彩色多普勒超声诊断及中医辨证分型情况对比。方法:选择2016年4月-2017年5月于我院收治的疑似糖尿病肾病病患78例,所有病患均在入院后采用彩色多普勒超声进行检查,同时采用中医辨证分型方式分为气阴两虚证组(包含病患29例)、阴阳两虚证(包含病患26例)、阳衰瘀阻证(包含病患23例),同期选择25例健康体检的病患资料作为参考组,对比各组的肾动脉血流灌注情况及相关参数,探寻多普勒超声诊断对糖尿病肾病中医辨证分型的主要作用。结果:根据本次研究结果显示,各分型组与对照组在基于彩色多普勒超声诊断条件下,无论在肾动脉血流灌注情况及相关参数对比存在显著的组间差异性,符合统计学意义(P<0.05)。结论:糖尿病肾病肾动脉血流灌注效果会因为病情的进展而直接减弱,而且与中医分型存在密切关联性,因而彩色多普勒超声诊断结果可作为该病在临床中医辨证治疗的依据。

Objective:To study the color Doppler ultrasound diagnosis of diabetic nephropathy and TCM differentiation of DN.Methods:78suspected diabetic nephropathy patients admitted to and treated in our hospital from April2016to May2017were selected and given color Doppler ultrasound examination.At the same time,they were given TCM differentiation and were divided into Qi and yin deficientcy group(29cases),Yin and yang deficiency group(26cases),yang-stasis syndrome group(23cases).The data of25cases of healthy physical examination were selected as reference group.The perfusion of renal artery and related parameters in each group were compared to explore the main role of Doppler ultrasound in the differential diagnosis of diabetic nephropathy.Results:According to the results of this study,under the condition of color Doppler ultrasound diagnosis,there was a significant difference between the groups in terms of perfusion of renal artery and related parameters,which was statistically significant(P<0.05).Conclusion:The effect of renal artery perfusion in diabetic nephropathy was directly weakened by the progression of the disease,and it was closely related to TCM differentiation.Therefore,color Doppler ultrasound diagnosis of the disease could be used as a basis for the clinical diagnosis and treatment of the disease.