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An Approach To Regularity Of The Syndrome In Chronic Renal Disease

Posted on:2011-07-10Degree:MasterType:Thesis
Country:ChinaCandidate:L H A H H T JiangFull Text:PDF
GTID:2154360308483483Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective:To explore the syndrome laws of the chronic kidney disease in and the relevance between various syndromes and gender, age, laboratory indicators to reveal the essence of TCM syndrome and providethe basis for the standardization of TCM syndrome。Methods:All the cases included in the standard of the form in accordance with theunified design to investigate.Record clinical data include:①Generalin for mation:gender, age, medical history, the incidence, body weight (kg), and so on.②General medical check items:blood pressure, bloodroutine test and serum creatinine and blood urea nitrogen, uric acid, cholesterol, triglycerides, low- densitylipoprotein, 24-hour urineprotein.③glomerular filtration rate is calculated according to the more suitable for Chinese people's improved MDRD formula published by the Chinese GFR collaborative group④TCM data:the collection of all the clinical syndrome are classified by quantity, and each is divided into4 grades such as no symptoms, mild, moderate and severe, respectively scores 0,2,4 and 6.Through the above means to develop" the clinical observation reports on Chinese Syndrome cases of the chronic kidney disease in the fourth period" Use 111 complete cases to dostatistical analysis. Then observe age and gender distribution;research deficiency and excess syndrome distribution of CKD patients, and selectthe main syndrome of the deficiency and excess syndrome respectively, thena number of indicators between the main syndrome and non-main syndromesuch as the blood pressure, blood routine test, electrolytes, renal andliver function, and so on are selected to conduct an independent samplet-test, record x±SD and p value to observe the existence of significant differences of the main inter-related indicators of the main syndrome andnon-main syndrome, then do the associated analysis to explore the clinical indicators of modern medicine and traditional Chinese medicine syndrome relations. Result:showed that Yang deficiency in spleen and kidney syndrome。Results:accounted for 68.9 percent, significantly higher than any other syndromes Qi and Yin deficiency, Yin and Yang deficiency, Qi deficiency in spleen and kidney, yin deficiency in liver and kidney were decreasing. Thee mergence of the wet muddy syndrome in excess syndrome was the highest, accounting for 54.1 percent. This was followed by blood stasis, hot and humid, water and gas. The protein between Yang deficiency in spleen and kidney syndrome and non-Yang deficiency in spleen and kidney syndrome was different;the between the wet muddy syndrome and non-wet muddy syndrome was also different (P< 0.05). According to there lated analysis between TCM Syndrome total scores of Yang deficiency in spleen and kidney syndrome and the wet muddy syndrome and the clinical, there was no linear relation in TCM Syndrome total scores between Yang deficiency in spleen and kidney syndrome, blood pressure and various physical and chemical indicators;There was linear relation between wet muddy syndrome and TCM Syndrome total score in correlation (P<0.05). Conclusions:significantly higher than any other syndromesQi and Yin deficiency, Yin and Yang deficiency, Qi deficiency in spleen and kidney, yin deficiency in liver and kidney were decreasing. Thee mergence of the wet muddy syndrome in excess syndrome was the highest, This was followed by blood stasis, hot andhumid, water and gas. The protein between Yang deficiency in spleen and kidney syndrome and non-Yang deficiency in spleen and kidney syndrome was different;the between the wet muddy syndrome and non-wet muddy syndrome was also different.
Keywords/Search Tags:Chronic Kidney Disease, TCM syndrome, clinical data
PDF Full Text Request
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