摘要
目的探讨研究肾小球肾炎中医辨证与病理检查指标之间的关系及意义。方法研究资料均选择我院接收治疗的肾小球肾炎患者,选择治疗时间为2014年5月—2016年5月,共选择86例患者,并采用中医辨证方法对86例患者进行分型,分别为肝肾阴虚型、气阴两虚型、脾肾气虚型,并观察中医证型与肾脏病理之间的关系。结果病理损害为Ⅱ级至Ⅲ级中,肝肾阴虚型占比8.14%,气阴两虚型占比9.30%,脾肾气虚型占比24.42%,数据比较差异具有统计学意义(P<0.05)。病理损害为Ⅳ级至Ⅴ级中,肝肾阴虚型占比27.91%,气阴两虚型占比13.95%,脾肾气虚型病理占比16.28%,数据比较差异具有统计学意义(P<0.05);肝肾阴虚型患者的肾小球损伤积分、肾小管间质损伤积分、肾血管损伤积分均显著高于气阴两虚型、脾肾气虚型两组患者,数据比较差异具有统计学意义(P<0.05)。结论肝肾阴虚型、气阴两虚型、脾肾气虚型比较,脾肾气虚型IgA肾病慢性肾小球肾炎患者病理损害最轻,而肝肾阴虚型IgA肾病患者病理损害最严重,但仍然需要进行进一步临床研究和探讨。
Objective To investigate the relationship and significance between the pathologic examination index of TCM syndrome differentiation and examination index in glomerular nephritis. Method This research materials were all glomerulonephritis patients received treatment in our choice,the treatment time was from May 2014 to May 2016,and 86 cases of patients were selected. Using TCM syndrome differentiation method,86 cases of patients were divided into liver and kidney yin deficiency,qi and yin deficiency,spleen and kidney deficiency. The relationship between the TCM syndrome type and renal pathology was observed. Results The pathological damage levels was Ⅱ to Ⅲ,liver and kidney yin deficiency type accounted for 8. 14%,qi and yin deficiency type accounted for 9. 30%,spleen and kidney deficiency type accounted for 24. 42%,and data comparison differences were statistically significant（ P〈 0. 05）. Pathological damage levels were Ⅳ to Ⅴ,liver and kidney yin deficiency type accounted for 27. 91%,qi and yin deficiency type accounted for 13. 95%,spleen and kidney deficiency type accounted for 16. 28%,and data comparison differences were statistically significant（ P〈 0. 05）.Glomerular damage in patients with liver and kidney yin deficiency type,kidney damage of tubulointerstitium integral,renal vascular injury score were significantly higher than two groups of patients,and data comparison differences were statistically significant（ P〈 0. 05）.Conclusion The liver and kidney yin deficiency,qi and yin deficiency type,spleen and kidney deficiency type was compared between the two groups,spleen and kidney deficiency type of IgA nephropathy patients with chronic glomerulonephritis pathological damage is the lightest,and liver and kidney yin deficiency type of IgA nephropathy patients with pathological damage is the most serious,but it is still a need for further clinical research and discussion.
出处
《光明中医》
2017年第8期1076-1078,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
虚劳
肾小球肾炎
中医辨证
病理检查
Comsumptive disease
Glomerular nephritis
TCM syndrome differentiation
Pathological examination
