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慢性肾脏病3期患者中医临床证候分析
引用本文:李亚妤,鲁盈,陈洪宇,王永钧.慢性肾脏病3期患者中医临床证候分析[J].浙江中医药大学学报,2010,34(6).
作者姓名:李亚妤  鲁盈  陈洪宇  王永钧
作者单位:1. 浙江中医药大学,杭州,310053;浙江中医药大学附属广兴医院(杭州市中医院)
2. 浙江中医药大学附属广兴医院(杭州市中医院)
基金项目:“十一五”国家科技支撑计划项目(No:2006BAI04A07); 杭州市科技局课题(No:20070433Q08)~~
摘    要:目的]探讨CGN-CKD3期患者中医证候的临床分布及辨证分型规律。方法]对96例CGN-CKD3期患者进行临床调查,依据统一标准辨证,统计各项基本证候出现频率;将患者按不同证型进行分组,并对各组间年龄、病程、血压及实验室指标(GFR、24h Upro、UAlb/cr)进行统计分析。结果]CGN-CKD3期患者以肾气阴(血)虚、肾络瘀痹、风湿内扰为三大基本中医证候,肾气阴(血)虚涵盖几乎所有患者;辨证分型以气阴虚+肾络瘀痹+风湿内扰最多,其次为气阴(血)虚+肾络瘀痹、气阴(血)虚+风湿内扰证;兼挟风湿证/和血瘀证的患者尿蛋白量明显增加,舒张压水平相对高。结论]风湿内扰证、肾络瘀痹证及气阴(血)虚在CGN-CKD3期患者整个病程进展中具有重要意义。

关 键 词:CKD3期  中医证候  规律  

Clinical Analysis on 96 Cases of Chronic Glomerulone Phritis(CGN) of CKD Phase-3
Li Yayu,Lu Ying,Chen Hongyu,et al Guangxing Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou.Clinical Analysis on 96 Cases of Chronic Glomerulone Phritis(CGN) of CKD Phase-3[J].Journal of Zhejiang University of Traditional Chinese Medicine,2010,34(6).
Authors:Li Yayu  Lu Ying  Chen Hongyu  Guangxing Hospital Affiliated to Zhejiang Chinese Medical University  Hangzhou
Institution:Li Yayu,Lu Ying,Chen Hongyu,et al Guangxing Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou(310007)
Abstract:Objective]To study Chinese medical pattern characteristic of CGN-CKD3.Methods]Retrospective analytical method was used to investigate pattern distribution,age,course,blood pressure and main laboratory index(GFR,24hUpro,UAlb/cr)among different groups of 96 CGN-CKD3 patients.Results]There are three basic patterns in CGN-CKD3,such as deficiency,blood stasis and wind-dampness.The pattern of deficiency covers nearly all patients.The first pattern is deficiency-blood stasis-wind-dampness,the other patterns are...
Keywords:CKD3 phase  TCM syndrome  rule  
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