糖尿病肾病的中医证候学研究

目的 探讨糖尿病肾病的中医证候特点,分析其病因病机,深化症与证之间关系的认识,为防治糖尿病肾病、提高临床疗效提供参考.方法 通过对200例糖尿病肾病患者进行调查,收集一般临床资料和症状资料,应用SPSS12.0软件进行统计分析,观察本病的发病年龄、性别分布、病情分布等情况,并根据肾功能的不同情况分组探讨中医的症状、证候等关系.结果 糖尿病肾病常见的症状是身重困倦(74%)、倦怠乏力(70%)、少气懒言(64%)等;主要单证侯为:气虚证、阴虚证、湿热中阻证和血脉瘀阻证.结论 根据对证的研究发现,在本虚证中气虚证及阴虚证出现率最高,标实证中湿热中阻证的出现率最高,其次为血脉瘀阻证,但血脉瘀阻证的表现最重并且贯穿于糖尿病.肾病的始终.

Traditional Chinese Medical Syndrome Study on Diabetic Nephropathy

Objective To further discuss the characteristic of diabetic nephropahty,analyze its cause and pathogenesis,and make clear the relation between symptoms and syndrome,and to provide proof for prevention and therapy of this disease.Methods Records of 200 diabetic nephropathy patients treated clinically were collected and SPSS(Statistical Package for Social Science)12.0 was applied for analyzing.According to different conditions of the renal function,We divide the cases into two groups to study the relations between symptoms and syndrome.Results 1.The common symptoms of diabetic nephropathy are heavy body and drowsiness(74%),tired and debilitation(70%),and deficient breath and unwilling to speak(64%).2.The main syndromes of diabetic nephropathy are syndrome of deficiency of Qi、syndrome of yin asthenia,syndrome of dampness-heat blocking in the middle,and syndrome of blood stasis.Conclusion According to the research,the highest frequent appearing syndromes of deficiency were syndrome of Qi deficiency and syndrome of Yin deficiency,while the syndrome of dampness-heat blocking in the middle ranked No.1 in sthema syndromes and then caine the syndrome of blood stasis.However,the syndrome of blood stasis was the most severe,and this syndrome existed from the beginning to the end of this disease.