414例慢性肾脏病患者中医体质特征研究

目的探讨慢性肾脏病与中医体质特征的关系。方法按王琦中医体质类型的分类方法将慢性肾脏病分类并统计其临床表现在各类型体质中的分布。结果发现414例慢性肾脏病患者中各型体质分布差异较大，其中气虚质、阴虚质和阳虚质比例最高，分别占25．60％、22．70％和16．90％。结论气虚质与蛋白尿合并血尿密切相关；阴虚质与镜下血尿或蛋白尿有关；阳虚质与大量蛋白尿、低蛋白血症、高脂血症有关。上述各种指标的变化均会加重慢性肾脏病的病情及症状，提示上述三种体质可能对慢性肾脏病的形成和发展具有某种内在相关性。

Chinese-Medicine based body constitution characteristics in the 414 cases of chronic kidney disease

Objective To explore the relationship between the Traditional Chinese Medical characteristics of body constitution and chronic kidney disease. Methods According to the theory of Traditional Chinese Medicine and clinical practice, the body constitutions of chronic kidney disease are divided into nine groups, namely the constitution of balance, deficiency of Qi, deficiency of Yang, deficiency of yin, phlegm-dampness, dampness-heat, blood stasis, stagnation of qi, and specialty. Results From the study of 414 cases of chronic kidney diseases, the paper showed that the cases are great different in Chinese medicine based body constitutions, among them most being deficiency Qi, deficiency of Yin, and defi-ciency of Yang in 25.6%, 22.7%, 16.90%, respectively. Conclusions There is a close relationship between the albuminuria and hematuria in the cases of deficiency Qi. Large number of albuminuria and hypoproteinemia and hyperlipemia are related to the deficiency of Yang. The changes of those indices will worsen the chronic kidney diseases, indicating an inherent relationship of deficient Qi and Yin and Yang to the onset and development of chronic kidney diseases.