The Clinical Study On Chronic Renal Failure With Secondary Hyperparathyroidism Syndromes

Objective:Chronic renal failure (CRF) with secondary hyperparathyroidism (SHPT) in patients with Syndrome Distribution of clinical observation, analysis of CRF patients with SHPT TCM syndrome distribution laws of CRF patients with SHPT Syndrome Features, Insight SHPT as a reference.Methods:Subjects were admitted to the object under the same conditions in blood sampling, submission of blood PTH and related checks (including blood count, blood urea nitrogen, serum creatinine, etc.);by hand records of the symptoms, signs, tongue and pulse, to TCM; analysis of TCM syndrome distribution, screening CRF patients with SHPT common symptoms and syndromes, to determine points of differentiation syndrome.Results:The spleen and kidney qi deficiency is associated with SHPT CRF the most common types of this deficiency, accounting for 34.5%; turbid damp and water CRF with SHPT gas card is the most common standard empirical type, each 25.5%; CKD3-5 in patients The deficiency of spleen and kidney qi deficiency are the most common; CKD3 evidence of marked up to see water gas card, CKD4 evidence of wet cloud the most common, CKD5 evidence of cloud water and wet gas card up to see. CKD5 of dialysis and non dialysis patients are the deficiency of spleen and kidney qi deficiency is most common, but most common in dialysis patients is turbid damp empirical standard, non-dialysis patients is the most common standard empirical evidence of water vapor. In the complex syndrome, the spleen and kidney deficiency syndrome of turbid dampness up; in CRF patients with SHPT, as the factors independently associated with PTH Syndrome is turbid damp (P<0.05); as an independent factor SHPT TCM symptoms "lassitude, nocturia Kiyonaga, nausea and vomiting" (P<0.05).Conclusion:â‘ CRF with SHPT most common deficiency is the spleen and kidney qi deficiency, the most common standard evidence is turbid damp.â‘¡turbid damp and there is significant correlation between serum PTH, CRF with turbid damp SHPT is an independent syndrome.â‘¢with elevated serum PTH-related symptoms are lassitude, nocturia, Kiyonaga, nausea and vomiting.â‘£CRF patients with SHPT digital master in spleen and kidney, spleen and kidney qi pathogenesis, dampness stagnation, phlegm contact, basic for the spleen and kidney qi deficiency syndrome and turbid damp.