维持性血液透析患者经络特征及传变规律研究

发布时间：2019-06-21 06:17

【摘要】：目的:研究慢性肾脏病维持性血液透析患者的经络特征、体质类型、证候特点及传变规律。方法:采用中医经络检测仪诊断系统于透析前和透析6个月后进行检测维持性血液透析患者,并同期进行中医体质辨识和中医辨证。结果:透析后患者体质以阴虚质、阳虚质、气虚质和瘀血质最为常见,证型主要以脾肾气虚、肝肾阴虚、气阴两虚;透析后患者的自律神经系统、运动状态和体能等检测数据升高,代谢状态、精神状态、检测数据下降。透析前心经、大肠经、小肠经、胃经和膀胱经正值向上,容易患实证;而三焦经、脾经、肾经和肝经负值向下,容易患虚证或慢性病。透析后肺经、心包经和胆经基本处于正常能量区;其他经络处于相对低能量区或相对高能量区。结论:透析后患者向虚性体质转化,脾肾气虚、肝肾阴虚、气阴两虚为主要证型;经络检测结果基本上反映了上述体质和中医证候的变化规律,可为临床提供量化、客观的诊断依据。
[Abstract]:Objective: to study the characteristics of meridians and collaterals, physique type, syndrome characteristics and transmission law of maintenance dialysis patients with chronic kidney disease. Methods: the maintenance hemodialytic patients were detected by the diagnostic system of traditional Chinese medicine meridians and collaterals before dialysis and 6 months after dialysis, and the physique identification and syndrome differentiation of traditional Chinese medicine were carried out at the same time. Results: after dialysis, the physique of the patients was yin deficiency, yang deficiency, qi deficiency and blood stasis, the main syndrome types were spleen and kidney qi deficiency, liver and kidney yin deficiency and deficiency of qi and yin. After dialysis, the self-discipline nervous system, motor state and physical ability of the patients were increased, metabolic state, mental state and detection data decreased. Before dialysis, the heart meridians, large intestine meridians, small intestine meridians, stomach meridians and bladder meridians were positive upward, which were easy to be proved, while the negative values of Sanjiao meridians, spleen meridians, kidney meridians and liver meridians were easy to suffer from deficiency syndrome or chronic diseases. After dialysis, the pulmonary meridians, pericardial meridians and bile meridians were basically in the normal energy region, while the other meridians and collaterals were in the relatively low energy region or relatively high energy region. Conclusion: after dialysis, the main syndrome types are deficiency of spleen and kidney, deficiency of yin of liver and kidney, deficiency of both qi and yin, and the results of meridian examination basically reflect the changes of physique and TCM syndromes, which can provide quantitative and objective diagnostic basis for clinic.
【作者单位】：郑州市中医院;郑州大学;
【基金】：郑州市普通科技攻关项目(20150127)-三种检测方法对透析病人经络特征及传变规律的观察
【分类号】：R277.5

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