肾移植术后证型与实验室指标关联性研究

发布时间：2018-03-24 22:31

本文选题：肾移植术后　切入点：证型　出处：《中国中西医结合杂志》2017年06期

【摘要】：目的研究肾移植术后中医证候分布规律,并探索临床分型与实验室指标的相关性。方法自制问卷调查收集450例肾移植术后的中医证候及实验室指标相关资料,应用聚类分析、单因素方差分析、Pearsonχ2检验等统计方法,对肾移植术后患者的症状及相关实验室检验结果进行分析,以期对其客观分型,并找出临床分型与实验室指标相关性。结果肾移植术后1周中医证型有脾肾阳虚、肝肾阴虚、脾肾气虚、气阴两虚,兼证有外感、血瘀、湿热、湿浊。与气阴两虚证比较,脾肾阳虚、肝肾阴虚、脾肾气虚证白细胞计数及Na+浓度降低,PLT计数升高(P0.05);与脾肾阳虚证比较,肝肾阴虚、脾肾气虚、气阴两虚证尿WBC计数降低(P0.05);与肝肾阴虚证比较,脾肾阳虚、脾肾气虚、气阴两虚证间接胆红素降低,脾肾阳虚、气阴两虚证血糖降低(P0.05)。结论中医证型与实验室指标有一定的关联性。
[Abstract]:Objective to study the distribution of TCM syndromes after renal transplantation, and to explore the correlation between clinical types and laboratory indexes. Methods 450 cases of TCM syndromes and laboratory indexes after renal transplantation were collected by self-made questionnaire, and cluster analysis was used. Univariate ANOVA Pearson 蠂 2 test and other statistical methods were used to analyze the symptoms and related laboratory results of renal transplantation patients in order to classify them objectively. Results at 1 week after renal transplantation, TCM syndromes included deficiency of spleen and kidney yang, deficiency of liver and kidney yin, deficiency of spleen and kidney qi, deficiency of qi and yin, and syndromes of external sensation, blood stasis, dampness and heat, dampness and turbid. Compared with deficiency of spleen and kidney yang, deficiency of spleen and kidney qi, deficiency of qi and yin of qi and yin, decrease of urine WBC count of deficiency of liver and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, and deficiency of spleen and kidney, compared with deficiency of spleen and kidney, urine WBC count of deficiency of liver and kidney, deficiency of spleen and kidney, and deficiency of spleen and kidney were lower than those of syndrome of deficiency of spleen and kidney. Spleen and kidney qi deficiency, qi and yin deficiency syndrome indirect bilirubin decreased, spleen and kidney yang deficiency, qi and yin deficiency syndrome blood sugar decreased P0.050.Conclusion TCM syndrome type and laboratory index have certain relevance.
【作者单位】：河南中医药大学第一附属医院肾病科;河南省信阳市中心医院肾病科;河南科技大学第二附属医院;河南省巩义市人民医院肾内科;天津中医药大学第一附属医院肾病科;
【分类号】：R269

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