Research Of TCM Constitution And Mental States Of Chronic Kidney Disease Patients Group From Guangdong Hospital Of Traditional Chinese Medicine

ObjectiveThe research aim at investigating TCM constitution and mental states to chronic kidney patients group from Guangdong Hospital of Traditional Chinese Medicine, to study the overall distribution of TCM constitution and mental state of the group, for the future of traditional Chinese medicine treatment of chronic kidney disease and psychological interventions for such sick people to provide clinical data and evidences.MethodThe research select kidney specialist outpatients and inpatients treatment of chronic kidney patients group from Guangdong Hospital of Traditional Chinese Medicine in the May2013-February2014, a total111cases are included in. Between the ages of18-80years old, mean age is45.69±15.79years, male in62cases, female in49cases. Diagnostic criteria adopted in2002the United States National Kidney Foundation organizate to write "kidney disease/dialysis clinical practice guidelines"(K/DOQI) chronic kidney disease definition and stage. In light of the object consent to answer the question of TCM constitution and Self-reporting Inventory (SCL-90). TCM constitution inventory adopted in our hospital,"TCM constitution and health status questionnaire" by specialists from Constitution of TCM identification center in accordance with the "Chinese constitution classification and judgment standards" to determine the TCM constitution classification. Self-reporting Inventory (SCL-90) before the test adopts unified instructions illustrate the purpose of the test, the patient according to their actual situation, the patient according to their actual situation, each of which controls Inventory to make real self-assessment and independently. TCM constitution Inventory which recovered111copies, Self-reporting Inventory (SCL-90)98copies recovered, lost rate of11.7%. The findings Input Epidata3.1computer database, the entire entry process and the investigation process has a strict quality control. Statistical analysis was done by SPSS19.0statistical software,0.05were taken as the significant level.ResultThe research, a total of111cases,28cases in which balance constitution, abnormal constitution in83cases. The distribution regularity of constitution types of Chinese medicine in the group as follow:25.2%in gentleness type, Qi deficiency type in11.7%, Yang deficiency type in42.3%, yin deficiency type in4.5%, blood stasis type in0.9%, phlegm-wetness in3.6%, wetness-heat tupe of2.7%, qi-depression in4.5%, special diathesis of4.5%. In the research, age with gender and TCM constitution were no significant difference. But age with TCM constitution had statistically significant. In CKD1-2stage and CKD3-4stage, gentleness type (23.6%) and yang deficiency type (43.6%) as the main body. In the CKD5stage was yang deficiency type (47.2%) mainly. The CKD5stage patients of all ages in the study were present. In CKD1-2stage, the age of18-30and31-40accounted for46.8%of the patients group. There was a significant difference in gender distribution of patients with chronic kidney group. TCM constitution of the patient’s first diagnosis, gentleness type (33.3%) accounted for one-third of the group, and the second and third place were the yang deficiency (28.5%) and Qi deficiency (14.3%). non-first diagnosed patients found mainly in the yang deficiency, accounting for45.6%of all non-first diagnosed patients. Non-dialysis patients, gentleness type accouted for28.6%of non-dialysis patients, abnormal constitution was mainly yang deficiency type and Qi deficiency type. TCM constitution of dialysis patients were mainly abnormal constitution, yang deficiency type (40%) and Qi deficiency type(35%) accouted for majority. Smoking with chronic kidney patient group was no significant difference in the distribution of mass. Compare CKD1-2stage with CKD5stage, there was a statistical significance in insomnia. However, compare CKD3-4stage with CKD5stage had no statistically significant, compare CKD1-2stage with CKD5stage also had no statistical significance. Insomnia patients in CKD1-2stage have49.1%, CKD3-4stage accouted for50%, CKD5stage was up to75%, CKD5stage dialysis patients were up to85%. In the complication aspect, the patients in CKD1-2stage presented it for54.4%, the patients in CKD3-4stage accouted for95%, the patients in CKD5stage was up to100%.The research select Self-reporting Inventory (SCL-90) to chronic kidney patients group as psychological investigation, except somatization, depression, horror, spirituality, positive items with the national norm has no statistical significance, compulsion, interpersonal relationships, anxiety, hostility, paranoia and others had a significant difference for probability value less than0.05. There were some degree of differences in terms of mental states between chronic kidney disease patients and normal population groups. Compare the first diagnosed patients with the national norm, in addition to interpersonal sensitivity was statistically significant, other projects were not statistically different. Self-reporting Inventory (SCL-90) score more than160points and the positive result had13cases (13.3%), mainly in CKD1-2stage and CKD5stage, both of the two groups was no statistically significant difference.ConelusionThe main TCM constitution distribution of chronic kidney patients group was yang deficiency type, gentleness type, Qi deficiency type. In the CKD5stage, the main TCM constitution was yang deficiency type. In dialysis patients’TCM constitution was mainly Yang deficiency type and Qi deficiency type. The first diagnostic CKD patients presented gentleness type, another CKD patients presented yang deficiency type. Along with the developement of chronic kidney disease, more and more complication and insomnia were happeneded in the patients. In the CKD5stage, every patient had complication. The dialysis patients The most common presented in the dialysis patients were insomnia. There were some degree of differences in terms of mental states between chronic kidney disease patients and normal population groups. There were no differences between the first diagnostic CKD patients and normal population groups in mental states.