尿渗透压与慢性肾脏疾病肾阴虚肾阳虚证关系的-国际中医中药杂志.PDF

国际中医中药杂志2011年4月第33卷第4期 Int J Trad Chin Med, April 2011, Vol. 33, No.4 ·319 · ·临床调研 · 尿渗透压与慢性肾脏疾病肾阴虚、 肾阳虚证关系的研究 韦先进 周富明 李玉卿 费德升 张雪锋 张忠贤 【摘要】 目的 探讨慢性肾脏疾病患者肾阴虚、肾阳虚证与尿渗透压之间变化的规律，为临床中 医辨证、肾功能判断提供客观依据。方法 对 121 例中医辨证为肾阴虚、肾阳虚证的慢性肾脏疾病患者 的尿渗透压、肾功能等进行了检测，分析其之间的关系以及与中医症状积分之间的关系。结果 慢性肾 脏疾病患者的尿渗透压和肾功能结果与肾阴虚、肾阳虚有关，且尿渗透压的结果与中医临床症状积分有 显著的相关性。结论 尿渗透压测定可为慢性肾脏疾病中医肾阴虚、肾阳虚的辨证提供参考。 【关键词】 中医辨证；慢性肾脏疾病；尿渗透压；肾功能 The research about the connection between the urine osmolality and the syndrome type of kidney Yin deficiency or kidney Yang deficiency in chronic kidney disease WEI Xian-jin, ZHOU Fu-ming, LI Yu-qing, FEI De-sheng, ZHANG Xue-feng, ZHANG Zhong-xian. The nephrology of Pinghu hospital of TCM, Pinghu 314200, China Corresponding author：WEI Xian-jin, Email：weir910@ 【Abstract 】 Objective To explore the regularity between the change of urine osmotic pressure to the syndrome of kidney Yin deficiency and kidney Yang deficiency in patients with chronic kidney disease, to provide an objective evident for the syndrome differentiation of TCM and the judgment of renal function. Methods Urine osmolality and renal function of one hundred and twenty-one patients with chronic kidney disease, belonging to the syndrome of kidney Yin deficiency or kidney Yang deficiency, were detected. The connection between urine osmolality, renal function and TCM syndromes of kidney Yin deficiency and kidney Yang deficiency and the relation of TCM symptom score between them were analyzed. Results The research suggested an obvious link between urine osmolality, renal function and the TCM Syndromes of kidney Yin deficiency and kidney Yang deficiency in Chronic kidney