Nutritional Status Of Maintenance Peritoneal Dialysis And Tcm Syndrome

Objective:To observe the symptom-sign of CAPD and research the relationship betweensymptom-sign and malnutrition. To provide basis for Traditional Chinese Medicine(TCM).Method:1. There are 53 cases in dialysis group which have been dialysis treated after Marchof 2005.We will observe the symptom-sign evolvement of the 53 cases.2. The diagnose-standard of TCM was regulated according to the guiding rules ofclinical research of new Chinese medicine which editor by Chinese medicinepublishing house in 2002 year.3. Make the TCM diagnose and lab inspect table.diagnose the symptom-sign ofTCM before dialysis and after dialysis treatment. All dialysis treatment cases beendeal with nuttritional assessment.4. Observe the distibution and alert of symptom2sign of CAPD;research therelationship between symptom-sign and nutrition status.5. Observe the relationship between symptom-sign and .biochemical indexes ofblood.6. Statistic treatment:All datas use arithmetic mean±standard deviation((?)±S)express.Measurement data used t-text; Enumeration count data usedchi-square test.P＜0.05 means there had remarked difference.Result:1.The distribution of TCM syndrome type in 53 cases after dialysis treatment: 17cases of Yang-deficiency of the spleen and kidney type, 17 cases of Qi-Yindeficiency type, 11 cases of Qi-deficiency of the spleen and kidney type, 5 cases ofYin-deficiency of the liver and kidney type, 3 cases of Yin-Yang deficiency type.2.the distribution of TCM syndrome type in 53 cases after dialysis treatment: 16 casesof blood-stasis,7 cases of damp-heat, 11 cases of damp-turbidity, 10 cases ofwind-dry, 9 cases of damp.Two proup TCM symptom-complex compare betweenbefore and after treatment.A group TCM symptom-complex,which deficiency of Qi-Yin and blood-stasis had remarked difference with before treatment(P＜0.05).3.the relationship between symptom-sign and nutrition status:there are 15 cases ofQi-Yin deficiency type and 2 cases of Yang-deficiency of the spleen and lddneytype in malnutrition group.The two group have remarked difference (P＜0.05).4.there are 14 cases ofblood-stasis type in malnutrition and 2 cases in nutrition group.The two group have remarked difference (P＜0.05).5.the relationship between symptom-sign and biochemical indexes of blood:comparedwith Qi-deficiency of the spleen and kidney type ,the cases of Qi-Yin deficiencytype have lower indexes in Alb and nPNA.There are remarked difference betweenthe two types(P＜0.05).6.compared with wind-dry type, the cases of blood-stasis and damp-turbidity havelower indexes in Alb and nPNA .There are remarked difference between the twotypes(P＜0.05).Conclution:1. After dialysis treatment, Qi-Yin deficiency type and blood-stasis are the most typein TCM Syndrome types The distribution of TCM syndrome type in 53 cases afterdialysis treatment: 17 cases of Qi-Yin deficiency type (32.1％, 16 cases ofblood-stasis (30.2％).2. After dialysis treatment, Qi-deficiency of the spleen and kidney type will changeto Qi-Yin deficiency type;TCM symptom-complex alert from damp-turbidity toblood-stasis type.3. The Syndromes of TCM will changed after dialysis treatment.4. The Syndromes of TCM before dialysis have not impact on the statua ofnutrition.5. Qi-Yin deficiency type and blood-stasis are the most type in malnutritiongroup,and Qi-deficiency of the spleen and kidney type are the most type in thebetter nutrition group.