慢性肾衰竭中医证型与彩色多普勒超声心动图的研究-中医内科学专业毕业论文.docx

A Study on the correlation diagram of the diff- erent syndrome type of chronic renal failure with color Doppler ultrasound Heartbeat ABSTRACT Objective：In order to understand the different stage of chronic renal failure (Chronicrenal failer, CRF) correlation between the distribution of patients, the extent of damage to the heart of TCM syndrome type and color Doppler ultrasoundBeckoning map of each index, and explore its influence factors, to provideobjective index for TCM syndrome differentiation. Methods：From 2012 September to 2013 December, 90 patients with chronic renal failure in the Department of nephropathy the First Affiliated Hospital of Guangxi traditional Chinese Medicine University, making CRF syndromes and cardiac ultrasound questionnaire, the clinical research of TCM syndrome differentiation, according to the latest version of traditional Chinese medicine new medicine clinical research guiding principle in the standard of chronic renal failure diagnosis, divided into deficiency of spleen and kidney, Yang deficiency of spleen and kidney, yin deficiency syndrome, two gas two liver kidney yin deficiency and Yin Yang five syndromes. According to the 2012 international kidney disease Organization issued KDIGO guide for chronic kidney disease (Chronic kidney disease, CKD) stage, according to the different period of syndrome differentiation of traditional Chinese medicine. Determination of indexes of heart color related: interventricular septal thickness (IVSd), left ventricular ejection fraction (LVEF), end diastolic volume (EDV), end systolic volume (ESV), stroke volume (SV), fractional shortening (FS). Analysis on relevant indexes of TCM syndrome type and echocardiography using SPSS19.0 statistical software. Results:(1)In all patients, the proportion of patients with different TCM syndromes are: the deficiency of spleen and kidney deficiency syndrome (47.8%), Pi Shenyang (18.9%), liver kidney yin deficiency syndrome (14.4%), Qi and yin deficiency