CAJ | 학술논문

目的：观察糖尿病肾病中医分型与血清超敏C反应蛋白（ hs-CRP）、踝臂指数（ ABI）的相关性。方法118例糖尿病肾病患者作为观察组，40例健康人作为对照组，并且对糖尿病肾病患者进行中医分型。测定所有人血清hs-CRP和ABI。结果观察组血清hs-CRP比对照组明显升高（P＜0.01），观察组ABI比对照组明显降低（P＜0.05）。在观察组患者中，气阴两虚、肾阳亏虚、阴阳两虚与阴虚热盛患者血清hs-CRP，ABI均有明显差异（ P＜0.05，P＜0.01）；气阴两虚、肾阳亏虚之间的hs-CRP，ABI无明显差异（P＞0.05）；气阴两虚与阴阳两虚之间hs-CRP、ABI有明显差异（P＜0.05）；肾阳亏虚与阴阳两虚之间hs-CRP，ABI无明显差异（P＞0.05）。结论血清hs-CRP和ABI可以指导糖尿病肾病患者的中医分型。
목적：관찰당뇨병신병중의분형여혈청초민C반응단백（ hs-CRP）、과비지수（ ABI）적상관성。방법118례당뇨병신병환자작위관찰조，40례건강인작위대조조，병차대당뇨병신병환자진행중의분형。측정소유인혈청hs-CRP화ABI。결과관찰조혈청hs-CRP비대조조명현승고（P＜0.01），관찰조ABI비대조조명현강저（P＜0.05）。재관찰조환자중，기음량허、신양우허、음양량허여음허열성환자혈청hs-CRP，ABI균유명현차이（ P＜0.05，P＜0.01）；기음량허、신양우허지간적hs-CRP，ABI무명현차이（P＞0.05）；기음량허여음양량허지간hs-CRP、ABI유명현차이（P＜0.05）；신양우허여음양량허지간hs-CRP，ABI무명현차이（P＞0.05）。결론혈청hs-CRP화ABI가이지도당뇨병신병환자적중의분형。
Objective To study the correlation between TCM types and high-sensitivity C-reactive protein ( hs-CRP ) , ankle-brachial index ( ABI) in patients with diabetic nephropathy .Methods 118 patients with diabetic nephropathy in Chinese tradition medicine type were enrolled into the observation group and 40 healthy people were enrolled into the control group .Serum hs-CRP and ABI were compared . Results Serum hs-CRP in the observation group was higher than that in the control group ( P<0.01 ) .ABI in the observation group was lower than that in the control group ( P<0.05 ) .There were significant differences in patients of yin deficiency and heat intensity , both deficiency of qi and yin, kidney yang deficiency , both deficiency of yin and yang about hs-CRP and ABI (P<0.05,P<0.01).There wasn’ t significant difference between both deficiency of qi and yin , and kidney yang deficiency about hs-CRP and ABI ( P>0.05 ) .There was significant difference between both deficiency of qi and yin , and both deficiency of yin and yang ( P <0.05 ) .There wasn ’ t significant difference between kidney yang deficiency , and both deficiency of yin and yang ( P>0.05 ) .Conclusions Hs-CRP and ABI can instruct TCM type in patients with diabetic nephropathy .