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糖尿病肾病终末期血液透析前后中医证候学观察
引用本文:刘尚建,霍延红,崔赵丽,刘忠杰,王耀献. 糖尿病肾病终末期血液透析前后中医证候学观察[J]. 中华中医药学刊, 2011, 0(6): 1366-1368
作者姓名:刘尚建  霍延红  崔赵丽  刘忠杰  王耀献
作者单位:北京中医药大学东直门医院肾内科;
基金项目:北京中医药大学校级课题基金资助项目(y-030)
摘    要:
目的:观察糖尿病肾病终末期患者在血液透析前后各时点中医证候分布差异。方法:选择开始进入血液透析的患者43例,研究其透析前到透析后6个月的中医证候变化规律。结果:糖尿病肾病透析前,正虚证候以气阴亏虚为主,实性证候以瘀血、水气、湿热证多见。血液透析后,阴虚证更为突出,湿热证呈先增后减趋势,水气证明显减少。证候积分逐渐减少,以实性积分更为明显。结论:糖尿病肾病终末期仍是以气阴亏虚为本,经透析治疗,阴虚热象益重,故中药当以培本固元、护卫阴液为根本。

关 键 词:糖尿病肾病终末期  血液透析  中医证候

Clinical Observation on TCM Syndrome in Patients belonged the end stage of diabetic nephropathy before and after hemodialysis
LIU Shang-jian,HUO Yan-hong,CUI Zhao-li,LIU Zhong-jie,advisor: WANG Yao-xian. Clinical Observation on TCM Syndrome in Patients belonged the end stage of diabetic nephropathy before and after hemodialysis[J]. Chinese Archives of Traditional Chinese Medicine, 2011, 0(6): 1366-1368
Authors:LIU Shang-jian  HUO Yan-hong  CUI Zhao-li  LIU Zhong-jie  advisor: WANG Yao-xian
Affiliation:LIU Shang-jian,HUO Yan-hong,CUI Zhao-li,LIU Zhong-jie,advisor: WANG Yao-xian(Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China)
Abstract:
Objective:Observe the distribution of Traditional Chinese Medical Syndrome in Patients with end stage of diabetic nephropathy before and after hemodialysis.Methods:choose 43 Cases of patients when commencing hemodialysis,a research of patients about the change regularity of Chinese Medical Syndrome before and after hemodialysis from the hemodialysis 6 months.Results:Before hemodialysis,Chinese Medical Syndrome in Patients with deficiency of qi and yin,with excess of blood stasis,water retention and qi,damp-...
Keywords:end stage of diabetic nephropathy  hemodialysis  TCM syndrome  
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