鲁西地区成人泌尿系草酸钙结石发病与中医体质的关系研究

Study on the relationship between adult urinary system calcium oxalate stone oncome and traditional Chinese medicine constitution in Luxi area

目的:探讨成人泌尿系草酸钙结石发病与中医体质类型的关系。方法:选取泌尿系结石患者1 156例,进行中医体质分型及结石成分分析,其中单纯型体质类型的草酸钙结石患者419例,分析结石发病与不同体质类型的关系。结果:419例单纯型体质类型的泌尿系草酸钙结石患者,阴虚质92例(21.96%),阳虚质74例(17.66%),气虚质69例(16.47%),痰湿质50例(11.93%),平和质11例(2.63%),血瘀质53例(12.65%),气郁质22例(5.25%),特禀质17例(4.06%),湿热质31例(7.40%)。感染性结石78.5%,含感染性结石与不含感染性结石所占比例在单纯型体质类型间差别具有统计学意义(P<0.05)。结论:阴虚质与阳虚质是成人泌尿系草酸钙结石形成的主要体质类型,湿热下注证、气滞血瘀证是鲁西地区成人泌尿系结石发病的主要证型。合并泌尿系感染的结石患者中,痰湿质、阴虚质患者以轻度感染为主,阳虚质及气虚质以中、重度感染居多,平和质则较少合并感染。

Objective:To explore the relationship between adult urinary system calcium oxalate stone oncome and traditional Chinese medicine constitution types.Methods:1 156 patients with urinary calculus were selected.The traditional Chinese medicine constitution classification and stone composition were analyzed.Among 419 patients were simple type constitution type of calcium oxalate stone.The relationship between stone oncome and different constitution types was analyzed.Results:In 419 patients with simple constitution type of urinary system calcium oxalate stone,92 cases(21.96%) were Yin-deficiency type,74 cases(17.66%)were Yang-deficiency type,69 cases(16.47%) were Qi-deficiency type,50 cases(11.93%) were phlegmy wet type,11 cases(2.63%)were gentleness type,53 cases(12.65%) were blood-stasis type,22 cases(5.25%) were Qi-depression type,17 cases(4.06%) were special intrinsic quality type,31 cases(7.40%) were wet-heat type.The proportion of infective stone was 78.5%.The difference of infective stone and non-infective stone in the distribution proportion of simple type constitution type had statistical significance(P<0.05).Conclusion:Yang-deficiency type and Yin-deficiency type are the main constitution types of adult urinary system calcium oxalate stone formation.Syndrome of dampness-heat diffusing downward and syndrome of Qi-stagnation and blood stasis are the main syndrome types of adult urinary system calculus oncome in Luxi area.In the calculus patients with urinary system infection,the phlegmy wet type and Yin-deficiency type patients are given priority to with mild infection,Yang-deficiency type and Qi-depression type are the majority with medium and severe infection,the gentleness type is less combined with infection.