CAJ | 학술논문

目的探讨慢性肾脏病与中医体质特征的关系.方法按王琦中医体质类型的分类方法将慢性肾脏病分类并统计其临床表现在各类型体质中的分布.结果发现414例慢性肾脏病患者中各型体质分布差异较大,其中气虚质、阴虚质和阳虚质比例最高,分别占25.60%、22.70%和16.90%.结论气虚质与蛋白尿合并血尿密切相关;阴虚质与镜下血尿或蛋白尿有关;阳虚质与大量蛋白尿、低蛋白血症,高脂血症有关.上述各种指标的变化均会加重慢性肾脏病的病情及症状,提示上述三种体质可能对慢性肾脏病的形成和发展具有某种内在相关性.
목적 탐토만성신장병여중의체질특정적관계.방법 안왕기중의체질류형적분류방법 장만성신장병분류병통계기림상표현재각류형체질중적분포.결과 발현414례만성신장병환자중각형체질분포차이교대,기중기허질、음허질화양허질비례최고,분별점25.60%、22.70%화16.90%.결론 기허질여단백뇨합병혈뇨밀절상관;음허질여경하혈뇨혹단백뇨유관;양허질여대량단백뇨、저단백혈증,고지혈증유관.상술각충지표적변화균회가중만성신장병적병정급증상,제시상술삼충체질가능대만성신장병적형성화발전구유모충내재상관성.
Objective To explore the relationship between the Traditional Chinese Medical characteristics of body constitution and chronic kidney disease. Methods According to the theory of Traditional Chinese Medicine and clinical practice, the body constitutions of chronic kidney disease are divided into nine groups, namely the constitution of balance, deficiency of Qi, deficiency of Yang, deficiency of yin, phlegm-dampness, dampness-heat, blood stasis, stagnation of qi, and specialty. Results From the study of 414 cases of chronic kidney diseases, the paper showed that the cases are great different in Chinese medicine based body constitutions, among them most being deficiency Qi, deficiency of Yin, and defi-ciency of Yang in 25.6%, 22.7%, 16.90%, respectively. Conclusions There is a close relationship between the albuminuria and hematuria in the cases of deficiency Qi. Large number of albuminuria and hypoproteinemia and hyperlipemia are related to the deficiency of Yang. The changes of those indices will worsen the chronic kidney diseases, indicating an inherent relationship of deficient Qi and Yin and Yang to the onset and development of chronic kidney diseases.