428例慢性肾炎蛋白尿患者中医证型分析及临床用药经验总结

Analysis of TCM Syndrome and Clinical Experience of Chronic Nephritis: A Study of 428 Cases of Chronic Nephritis with Proteinuria

目的:分析慢性肾炎蛋白尿患者的中医临床证型,为临床中此类患者的中医诊断、选方用药等提供了客观依据。方法:将12家医疗机构就诊时间为2015年1月—2016年12月符合标准的428例患者的中医证型进行回顾性总结分析。结果:本证中气虚证最多,占66.12%,其中脾肾气虚证占64.72%,肺肾气虚证占1.40%;标证中血瘀证最多,占31.78%。结论:本地区慢性肾炎蛋白尿患者本虚证以脾肾气虚证最为常见,兼夹证以血瘀证最为常见,提示治疗应以补虚泻实为主,据此原则选方用药。

Objective: To analyze the TCM syndromes of chronic nephritis with proteinuria. Methods: A total of 428 cases recorded in 12 medical institutions from Jan. 2015 to Dec. 2016 were retrospectively analyzed. Results: The syndrome of qi -deficiency accounted for 66.12%, with the largest proportion in deficient syndromes, in which the percentage of qi -deficiency syndrome of Spleen and Kidney was 64.72%, and the percentage of qi -deficiency syndrome of Lung and Kidney was 1.40%. The syndrome of blood stasis was the most in the excessive syndromes, accounting for 31.78%. Conclusion: The qi -deficiency syndrome of Spleen and Kidney is the most common deficient syndrome in chronic nephritis, accompanied by the excessive syndrome of blood stasis.