| Objective:Observe and summarize the bistributing disciplinarian of Chinese- medicine symptomatology on continuous ambulatory peritoneal dialysis(CAPD) patient's. And summarize the relation between the bistributing disciplinarian and the residual renal function (RRF). offer certain reference basis for protect the RRF by taking the traditional Chinese medicine.Methods:1. we investigate the patients who have carried on CAPD in the kidney internal medicine peritoneum of the first hospital of Wuhan by 2007.6-2007.12. The special messenger collects the case, the patients who accord with the standard included in.2. The dialectical standard of Chinese medicine was consulted 2002 " traditional Chinese medicine new medicine clinical research guideline ".And defer the experts's opinion, design " the peritoneum dialyses patient's Chinese medicine card and waits the questionnaire ".3. The task is in charge of doctor and seminar special messenger according to consulting the standard to finish dialectically with the blind law strictly, summing up Chinese medicine card, all patients estimate out RRF.4. On the basis of the residual renal function, 94 CAPD patients were divided into two groups: group A (RRF<2ml/min) (53), group B (RRF≥2ml/min) (41).5. Observe the distributing disciplinarian of deficiency in origin syndrome on all patients. And observe the bistributing disciplinarian of sthenia syndrome.6. Observe the distributing situation of deficiency in origin syndrome and sthenia syndrome in two groups (group A, B) repective. Observe the grade of symptom in two groups (group A, B) repective.7. Observe the relation in relevant biochemical indexes such as originally empty card of Chinese medicine and nutrition, dialysing sufficient, calcium phosphorus supersession and residual renal functionResult:1. The number of asdthenic splenonephro-yang-type is 34(36.2%) at most of the analysis result 94 PD patients indeficiency in origin syndrome. The number of hepatic and renal yin deficiency-type is low only 6 (6.4%). The number of asdthenic splenonephro-yang-type is 20(48.8%), deficiency of kidney-QI11 (26.8%) in Group B. In Group A, it is 16(30.2%) to the asthenia of both yin and yang;deficiency of both yin and yang, deficiency of both vital energy and yin15 (28.3%).It is the least in hepatic and renal yin deficiency-type between the two groups. The number of wind dryness is 24 (36.9%)at most of group B. In group A, it is 33 (33.0%) and 29 respectively (29.0%) in wind dryness and wet. The humid heat is rare in two groups. Wet of group B is obviously more rare than that of group A. The deficiency in origin syndrome, sthenia syndrome and grade of group A is higher than group B (P<0.05).2. The percentage of wet and wind dryness concurrently is 56.3% at most of the 94CAPD patients.58.8% asdthenic splenonephro-yang - type patients is concurrently with wind dryness,52.9% patients have wet concurrently. 66.7% hepatic and renal yin deficiency - type patients is concurrently with wind dryness,33.3% patients have wet and syndrome of blood stasis concurrently. 42.1% deficiency of both vital energy and yin patients is concurrently with syndrome of blood stasis,63.2% patients have wind dryness concurrently. 68.4% deficiency of both yin and yang patients is concurrently with wet,63.2% patients have wind dryness concurrently. The humid heat is rare. All cases are shown as the deficiency in origin syndrome and sthenia syndrome concurrently .3. RBCand Hb in deficiency of kidney-QI are higher than in asdthenic splenonephro-yang type(P < 0.05). Hb,Alb,KT/V,CCr of the patient in deficiency in kidney-QI are higher than in deficiency of both vital energy and yin/ deficiency of both yin and yang (P<0.05), Scr of the patient in deficiency in kidney-QI is lower than in deficiency of both vital energy and yin/ deficiency of both yin and yang, PTH of the patient in deficiency in kidney-QI is lower than in deficiency of both yin and yang, there is a significance difference (P<0.05).4. The damage is more serious in deficiency of both vital energy and yin/ deficiency of both yin and yang than in asdthenic splenonephro-yang-type/deficiency of kidney-QI. The time of dialysising is longer in deficiency of both vital energy and yin/ deficiency of both yin and yang than in asdthenic splenonephro-yang—type/deficiency of kidney-QI.Conclusion:1. In the total symptom distribution, the spleen kidney deficiency of yang type is the most , the liver kidney deficiency of yin is the least with deficiency in origin syndrome. With sthenia syndrome, the wet and the wind dryness are the most, humid heat is rare.2. The asdthenic splenonephro-yang-type and the deficiency of kidney-QI are the most in origin syndrome when RRF≥2ml/min.The deficiency of both vital energy and yin is the most. The deficiency of both yin and yang is the same.The wet and the wind dryness are the most in the sthenia syndrome.3. With the decline of RRF, PD patient's symptom behaves seriously andcomplicatedly gradually in origin syndrome.4. Nutritional status, sufficient in dialysing and calcium phosphorus supersession areto concern certainly with the reducing of kidney-Qi. |
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