| Purpose : Analyze the characteristics of TCM physique distribution of patients with maintenance hemodialysis malnutrition,explore the relationship between malnutrition and TCM physique,and related influencing factors,provide reference for timely intervention and treatment of patients with clinical end-stage renal disease,and further improve the survival of hemodialysis patients Quality and survival rate.Material and method:A cross-sectional survey method was adopted to inform patients or family members of the trial process and sign the informed consent form.Collect 70 patients who met the inclusion criteria in the Hemodialysis Center of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from December 2019 to December2020.The data(general data,measurement data,laboratory indicators)of patients with malnutrition on hemodialysis are subjected to a modified subjective comprehensive nutritional assessment(MQSGA),and the malnutrition MQSGA score is calculated.According to the MQSGA score,it is divided into mild,moderate,and Severe,and use the investigation and research of TCM physique classification and judgment self-test table to classify TCM constitution.SPSS26.0 was used to statistically analyze the correlation between the traditional Chinese medicine constitution of maintenance hemodialysis patients with malnutrition,general data,measurement data,and laboratory indicators,and to explore the characteristics of the distribution of traditional Chinese medicine constitution types of maintenance hemodialysis patients with malnutrition.Results:1.MHD malnutrition patients are more common in men than women.Most elderly patients are aged 69-89 years old.The dialysis age is mostly 25-48 months.Patients with glomerulonephritis as the primary disease are the most common in phlegm and wetness.Qi deficiency is most common in patients with diabetic nephropathy,and Yang deficiency is most common in patients with hypertension and renal damage.2.The physique types of patients with MHD malnutrition have statistically significant differences among different primary diseases(P<0.05).Phlegm and dampness are the most common in patients with glomerulonephritis as the primary disease,Qi deficiency is the most common in patients with diabetic nephropathy,and Yang deficiency is the most common in patients with hypertension and kidney damage.3.The difference in BMI of patients with MHD malnutrition was statistically significant(P<0.05).The BMI value of calmness was the largest,and the BMI value of blood stasis was the smallest;patients with different constitutions of MHD malnutrition were The difference between MAC,TSF and MAMC was not statistically significant(P>0.05).4.The difference in MQSGA scores of patients with MHD malnutrition was statistically significant(P<0.05),and the MQSGA score of blood stasis was the highest.There was no statistically significant difference in MQSGA scores between different physique types of patients with MHD malnutrition(P>0.05).5.In terms of laboratory indicators,the differences in hemoglobin and albumin between the different physical types of patients with MHD malnutrition are statistically significant(P<0.05).The hemoglobin of patients with moderate quality is the highest,and the hemoglobin of patients with blood stasis is higher.Low;patients with yang deficiency have the highest albumin,and patients with blood stasis have lower albumin.However,there was no statistically significant difference in prealbumin among patients with MHD malnutrition of different physical types(P>0.05).There was no statistically significant difference in triglycerides among patients with MHD malnutrition of different constitutions(P>0.05).There was a statistically significant difference in total cholesterol among patients with MHD malnutrition of different physique types(P<0.05).It can be seen from the analysis results that the total cholesterol of patients with moderate quality is the highest,and patients with deficiency of Qi have less total cholesterol.There was no statistically significant difference in blood creatinine and blood urea nitrogen in patients with different constitutions of MHD malnutrition(P>0.05).There was no statistically significant difference in Ca and P between MHD malnourished patients of different physique types(P>0.05);the difference in PTH between MHD malnourished patients of different physique types was statistically significant(P<0.05).From the analysis results,it can be seen that the PTH of patients with phlegm-dampness is the highest,while PTH of patients with mildness is lower.Conclusion:1.The main TCM constitution types of MHD malnourished patients in this dialysis center are qi deficiency,yang deficiency,phlegm-dampness,blood stasis,and peace.2.The MQSGA score of this dialysis center has more patients with mild malnutrition,and the blood stasis score is the highest.3.The nutritional status of blood stasis in patients with MHD malnutrition is poor,with low BMI,hemoglobin,and albumin values.There is a certain correlation between the type of TCM constitution and clinical laboratory indicators.values. |
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