About Adult Primary Nephrotic Syndrome With TCM Syndrome Type Of Relationship Between Pathological Type And Clinical Biochemistry Indexes

Objective:To discuss the relevance of syndrome type of traditional Chinese medicine with pathlogic of renal, blood biochemistry and the tlrine correlate inspection in the patient s of 119 cases adults primary nephritic syndrome with normal to compensate renal function.Methods:1.119 cases of adult PNS with normal to compensate renal function confirmed by the elinical diagnosis, and by renal needle biopsy were from the Guangzhou first hospital kidney internal department.2.119 cases of PNS who can be researched were divided into four types according to TCM syndrome differentiation:deficiency of both qi-yang Syndrome, deficiency of yin Syndrome, deficiency of qi-yin Syndrome, Rheumatism Syndrome, damp-heat Syndrome, deficiency and Rheumatism Syndrome, deficiency and Rheumatism Syndrome, deficiency and damp-heat Syndrome.3. Carries on the pathology type classification of 119 cases of PNS, and grade the pathological change, records of the species and immune deposits are immune to the fluorescence intensity.4.119 example analysis of TCM syndrome type, PNS adult pathological type distribution characteristics.5. Compare 119 PNS TCM syndrome type of adult patients with renal biopsy pathological type, immune deposits type, immune fluorescence intensity between the integral.Result:1.119 cases TCM syndrome type of adult PNS distribution characteristics: most patients with type certificate for healthy certificate,90 cases of 75.6 %. One and clip rheumatism card 34 cases of agency said,29 cases and clip humid card 32.2%and clip blood stasis; 27 patients accounted for 30.0% Yang deficiency syndrome in air, for two deficiency syndrome 7 cases of 77.8 %, qi and Yin deficiency of Yin,1 case was 11.1%, both 11.1%one card.2.119 PNS adult patients with pathological type distribution characteristics:MCD primarily,46 cases (38.7%), in order MsPGN 36 cases (30.2%), MN 25 cases (21.0%), FSGS 10 cases (8.4%), MPGN 2 cases (1.7 %).3.119 cases each pathological type of adult PNS TCM syndrome type distribution, and rheumatism and MCD with hot card, and 14 cases respectively, and 12 cases of 30.4%and 26.1%, MsPGN to heat and blood stasis syndrome and concurrently,11 cases of 30.6%for, MN mainly and rheumatism card, for 10 cases,47.6%.4. Chinese medicine every syndrome and pathologic types of relationship is no significant difference.5.119 cases in adult PNS every syndrome immune fluorescence intensity of integral comparison were significant difference.6.119 PNS adult patients with rheumatism hot in blood cholesterol in comparison with significant difference, namely blood cholesterol levels of rheumatism license issuing than high heat. And two card type in CHOL blood cholesterol, TC, the content and LDH non-significance difference. The rest every syndrome in blood between GLO ALB and TP, CHOL, TC, HDL, no obvious difference in the content is also significant difference.Conclusion:119 cases of renal decompensation of normal or adult PNS:1. TCM syndrome type distribution characteristics in healthy certificate, total 90 cases of 75.6%. One and clip rheumatism card 34 cases of agency said, 29 cases and clip humid card 32.2%and clip blood stasis; 27 patients accounted for 30.0%Yang deficiency syndrome in air, for two deficiency syndrome 7 cases of 77.8%, qi and Yin deficiency of Yin,1 case was 11.1 %.2. Pathological type distribution characteristics of renal biopsy with MCD primarily,46 cases (38.7%), in order MsPGN 36 cases (30.2%), MN 25 cases (21.0%), FSGS 10 cases (8.4%), MPGN 2 cases (1.7%).3. A renal biopsy of the pathologic types of TCM syndrome type distribution characteristics:MCD and rheumatism and concurrently with hot card, respectively, and 14 cases and 12 cases of 30.4%and 26.1%, MsPGN to heat and blood stasis syndrome and concurrently, after 11 cases of for, MN mainly and rheumatism card, for 10 cases (47.6%)4. TCM syndromes and the relationship of various types of pathology is no significant difference.5. Five immunofluorescence sediments in every syndrome of comparison between the intensity of sediments were no significant difference.6. The content of blood cholesterol rheumatism license issuing than high heat.7. TCM syndrome type blood between each GLO ALB and TP, CHOL, the content and TG, HDL, there are no significant difference.