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46例IgA肾病患者肾脏病理表现与中医辨证分型的相关性研究
引用本文:李现成,马浩,程小红.46例IgA肾病患者肾脏病理表现与中医辨证分型的相关性研究[J].天津中医药,2011,28(1):22-23.
作者姓名:李现成  马浩  程小红
作者单位:1. 陕西中医学院,咸阳,712046
2. 陕西省中医医院肾病中心,西安,710003
摘    要:目的]研究IgA肾病在光镜下的病理表现(Lee氏分级)与中医辨证分型的相关性。方法]收集已做肾活检,经免疫荧光病理检查确诊为IgA肾病的46例住院患者,记录每个患者的光镜病理表现,并进行中医辨证分型。结果]IgA肾病病理表现和中医辨证相关(P<0.01)。肾脏病理表现采用Lee氏分级法,其中Lee氏Ⅰ级、Lee氏Ⅱ级中医证型多为热毒内扰和(或)湿热壅滞;Lee氏Ⅲ级、Ⅳ级中医证型多为脉络瘀阻和(或)虚实夹杂;Lee氏Ⅴ级中医证型为虚实夹杂,因例数少而无统计学意义。结论]IgA肾病的病理表现与中医的辨证分型有一定的相关性,微观变化与中医辨证结合拓展了中西医结合诊治IgA肾病的思路。

关 键 词:IgA肾病  病理表现  辨证分型
收稿时间:2010/9/20 0:00:00

Correlation study between renal pathology and differentiating typing of TCM in 46 patients wth IgA nephropathy
LI Xian-cheng,MA Hao and CHENG Xiao-hong.Correlation study between renal pathology and differentiating typing of TCM in 46 patients wth IgA nephropathy[J].Tianjin Journal of Traditional Chin Medicine,2011,28(1):22-23.
Authors:LI Xian-cheng  MA Hao and CHENG Xiao-hong
Institution:LI Xian-cheng1,MA Hao1,CHENG Xiao-hong2(1.Shanxi University of TCM,Xianyang 712046,China,2.Center of Kidney Diseases,Shanxi Hospitals of TCM,Xi'an 710003,China)
Abstract:Objective] To study the correlation between pathologic appearances under light microscopy in IgA kidney disease(Lee's classification) and TCM syndrome differentiation.Methods] Fourty-six patients diagnosed as IgA nephropathy via renal immunofluorescence pathology were collected,recording their pathologic changes under light microscopy and making differentiated typing.Results] The IgA kidney pathological appearance and its TCM syndrome differentiation were correlated.(P<0.01).Renal pathology grading was p...
Keywords:IgA nephropathy  pathology  differentiation of symptoms and signs for classification of syndrome  
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