摘要
目的:探讨IgA肾病患者的中医体质类型及其临床特征。方法:将152例IgA肾病进行体质分类,并记录其临床分型及检测相关指标。结果:IgA肾病中医体质类型分布差异较大,从高到低依次为气虚质(31.58%)、阴虚质(26.32%)、湿热质(19.08%)、血瘀质(7.9%)、阳虚质(5.9%)、气郁质(5.3%)、痰湿质(2.0%)、平和质(1.3%)及特禀质(0.6%);气虚质、阴虚质、湿热质、血瘀质、气郁质以无症状尿检异常型和镜下血尿型为主,阳虚质以大量蛋白尿型为主,痰湿质以高血压型为主,血瘀质可表现为血管炎型;气虚质、阴虚质、阳虚质各项指标呈逐渐加重的趋势,痰湿质体质指数和平均动脉压最高,湿热质表现为中等量蛋白尿,血瘀质和气郁质各项指标均处于"中间型"。结论:IgA肾病中医体质以气虚质、阴虚质和湿热质多见,体质类型与发病形式及客观指标密切相关。
Objective： To investigate the TCM constitution type and their clinical features. Methods： 152 cases of IgAN were classified according to the constitution, recorded the clinical type and detected the relevant indicators. Results： The constitution type of TCM of IgAN distributed greater differently, In the order of Qi-deficiency （31.58%）, Yin-deficiency （26.32%）, Damp-heat （19.08%）, Blood stasis mass （7.9%）, Yang-deficiency （5.9%）, Qi-quality （5.3%）, Phlegm （2.0%）, Gentleness （1.3%） and Special intrinsic quality （0.6%）. Qi-deficiency, Yin-deficiency, Damp-heat, Blood stasis mass and Qi-quality mainly expressed as asymptomatic urine abnormality type and microscopic hematuria type. Yang-deficiency expressed as massive proteinuria type, Phlegm as hypertensive type and the blood stasis mass could show as vacuities type. The indicators of Qi-deficiency, Yin-deficiency and Yang-deficiency showed a gradual worsening trend, Phlegm up to the body mass index and mean arterial blood pressure, Damp-heat showed a moderate amount of proteinuria, Blood stasis mass and Qi-quality in the ＂intermediate＂ type. Conclusion： The constitution of TCM of IgAN mainly show as Qi-deficiency, Yin- deficiency and Damp-heat, and the type of constitution is closely related to the onset of the disease and objective indicators.
出处
《中医临床研究》
2012年第18期11-13,共3页
Clinical Journal Of Chinese Medicine
