糖尿病肾病(Ⅳ、Ⅴ期)的中医证候临床探究.pdfVIP

提 要 目的：本部分拟通过辨症状为辨证候的研究，旨在提高糖尿病肾病（Ⅳ、Ⅴ期） 的临床中医辨证分型的客观化、标准化，借此指导临床治疗。方法：回顾性统计了山 东省中医院105例糖尿病肾病的患者，并依据Mongensen分期标准，只研究Ⅳ、Ⅴ期的 糖尿病肾病，应用SPSS（Statistica Package for Social Science）16.0软件进行 统计分析，其中糖尿病肾病Ⅳ期63例，Ⅴ期42例，分组探讨中医的症状、证侯。结果： 糖尿病肾病（Ⅳ、Ⅴ期）常见的症状是神疲乏力、口干、全身浮肿、肢体麻木、肢体 疼痛、腰膝酸软、畏寒肢冷等。主要单证侯为：气虚证、阴虚证、血瘀证。血瘀证贯 穿于糖尿病肾病的始终。结论：DN（Ⅳ、Ⅴ期）的中医证候特点为本虚标实。本虚证 以气阴两虚为主，随着病程的进展，逐渐阴损及阳，发展为Ⅴ期的阴阳俱虚之证；所 兼挟的标实证因病程阶段不同和个体差异而表现各异，但血瘀和水湿为DN （Ⅳ、Ⅴ期） 的重要兼挟证。 关键词 糖尿病肾病；中医证候；分析 DN (Ⅳ, Ⅴ period) of the Traditional Chinese Medicine syndrome Clinical research Specialty: Internal Medicine of the Traditional Chinese Medicine Author: Wu Zengli Tutor: Professor Guo Zhaoan Abstract Objective: This section to be identified through symptom-designate for the differentiation of the study, designed to improve DN(Ⅳ, Ⅴ period) the clinical syndrome differentiation of objective, standardized, so as to direct the clinical treatment.Methods: A retrospective review of Shandong Provincial TCM Hospital Statistics 105 cases of diabetic nephropathy and Mongensen phases based on standards, we only study Ⅳ, Ⅴ phase of diabetic nephropathy, the application of SPSS (Statistica Package for Social Science) 16.0 software for statistical analysis, one of diabetic nephropathy 63 cases of stage Ⅳ, Ⅴ period of 42 cases, group to explore traditional Chinese medicine symptoms, syndrome.Results: DN (Ⅳ, Ⅴ period)shenpi common symptoms are fatigue, dry mouth, systemic edema, limb numbness, limb pain, weakness in Lumbar, chills, etc. Hou main documents are: Qi, Yin-deficiency, blood stasis. Through the blood stasis always diabetic nephropathy.Conclusions: DN ( Ⅳ , Ⅴ period) c