162例小儿紫癜性肾炎肾脏病理与中医辨证关系探讨.pdf

中国中医急症2010年10月第19卷第10期JETCM．Oct．2010，V01．19．No．10 ·证治探讨· 162例小儿紫癜性肾炎肾脏病理与中医辨证 关系探讨木 袁增辉1 袁 斌2△ 刘光陵3 孙轶秋2 夏正坤3 高远赋3 樊忠民3 任现国3 中图分类号：R692．3+4文献标志码：A文章编号：1004—745X(2010)10—1705—02 【摘要】 目的探讨d,JL过敏性紫癜性肾炎肾脏病理与中医辨证关系，以指导临床。方法收集162例过敏性 紫癜性肾炎患儿肾活检资料，分析病理类型分布和中医证型分布。结果前者以系膜增生为主(占68．5％)，后 者以脾肾阳虚为多(占55．6％)，随病理类型的加重，表现为虚证的例数增多。此外，表现为血瘀证的并不少 见，与临床实际相符。结论l临床对紫癜性肾炎患儿进行辨证时，可结合病理类型来进行。 【关键词】紫癜性肾炎肾脏病理中医辨证 Ⅸ靶uSsi∞on BetweentheTCMDifferentiationandtheRenal in162Caseswith Relationship Pathology AnaphylactoidPurpuraNephritis YUAN Bin2，LIU al Zeng—hui’，YUANGuang-lingJ，et Chinese 21 0029) 1№彬ngUniversityof Medicine(Nanjing 2 Prot砌cce Jiangsu ofTCM(Nanjing210029) Hospital 3 General 2 Nanjing HospitalofNanjingMilitaryCommand(Na彬ng10002) the between and renal of [Abstract] theTCMdifferentiationthe Objective：Toexplorerelationship pathology childrenwith collectedtO the materialsin162caseswere anaphylaetoidpurpura．Methods：Renalbiopsies analyze distributionof and of ofmembrane isthemain TCM．Results：The pathologicaltypessyndromes type hyperplasia the of and isthemostcomnion pathologicaltype(68．5％)and patternspleenkidneyyangdeficiency syndrome the of ea,鲍sof were cases (55．6％)．With type，the developmentpathological deficiencyincreasing．Moreover，the withbloodstasis werenot theseresultswereconsi8twiththeclinical syndromesuncommon，but reality．Conclusion： The couldb