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肾脏病理改变与中医辨证关系的回顾性研究
引用本文:黎创,谢羿.肾脏病理改变与中医辨证关系的回顾性研究[J].辽宁中医杂志,2008,35(11):1619-1621.
作者姓名:黎创  谢羿
作者单位:[1]广州中医药大学第二临床医学院2007级博士班,广东广州510405 [2]广州中医药大学第二临床医学院2001级中西医结合七年制,广东广州510405
摘    要:目的:观察原发性肾小球疾病肾脏病理改变与中医辨证的关系。方法:对在广东省中医院进行肾穿活检,诊断为原发性肾小球疾病病历共144例进行病理与中医辨证的相关分析。结果:脾肾阳虚组病理表现最严重;气阴两虚组硬化较脾肾阳虚组轻但总体病变重于脾肾气虚组;兼见湿热内蕴证肾病理变化常见炎症浸润及组织增生,其程度较水湿内阻证明显;瘀血内阻型的肾组织增生及病理活动性均较水湿浸渍证明显;兼证中湿热内蕴证患者肾病理出现浸润的情况最为常见,瘀血内阻证的病理活动性最强。结论:原发性肾小球疾病在"脾肾气虚→气阴两虚(→肝肾阴虚)→脾肾阳虚"的转化过程中,病理浸润与硬化程度越来越严重。不同的证型之间肾病理改变程度存在显著性差异。

关 键 词:原发性肾小球疾病  肾脏病理  中医证型  正虚

Retrospective Research in Correlation between Renal Pathology and Chinese Medicine Syndrome
LI Chuang,XIE Yi.Retrospective Research in Correlation between Renal Pathology and Chinese Medicine Syndrome[J].Liaoning Journal of Traditional Chinese Medicine,2008,35(11):1619-1621.
Authors:LI Chuang  XIE Yi
Institution:LI Chuang1,XIE Yi2 (1.Doctorate Class of 2007,The Second Clinical Medical College of Guangzhou University of TCM,Guangzhou 510405,Guangdong,China,2.Seven-year Schooling of 2001 for TCM , WM Combined,China)
Abstract:Objective: Studying the correlation between renal pathology and Chinese Medicine Syndrome.Methods:General status,clinical information,pathological parameters,diagnoses were observed in 144 cases of primary glomerulus diseases.Results: The TCM Syndrome types are significantly correlated with the severity of their renal pathological changes:Semi-quantitative scoring upon pathological changes showed that the total,sclerosis and activity scores were significantly higher in patients with deficiency of yang of sp...
Keywords:Primary glomerulus diseases  Clinical pathology  TCM Syndrome type  Deficiency type  
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