北京中医药大学学报
北京中醫藥大學學報
북경중의약대학학보
JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
4期
266-270
,共5页
糖尿病肾病%文献资料%病性证素%病位证素
糖尿病腎病%文獻資料%病性證素%病位證素
당뇨병신병%문헌자료%병성증소%병위증소
diabetic nephropathy%research literature%syndrome elements of disease location%syndrome elements of disease nature
目的：以中医药辨证论治糖尿病肾病的期刊文献资料为研究对象，考察糖尿病肾病中医证素分布情况。方法检索中国期刊数据库( CNKI )、万方数据知识服务平台、维普数据库从建库至2014年8月9日糖尿病肾病中医辨证分型的文献。最终纳入相关文献159篇(单纯辨证分型文献111篇，辨证分型结合疾病分期文献48篇)，分别统计病性证素和病位证素出现的频数。结果单纯辨证分型中糖尿病肾病病位主要在肾、脾；病性以虚证为主，阴虚所占比例最高。结合疾病分期辨证分型中前期和早期糖尿病肾病病位主要在肾、脾、肝，病性以阴虚为主；中期病位在肾、脾，病性以阳虚、气虚、阴虚并存；晚期病位在肾、脾，病性以阴阳两虚为主。结论通过文献研究糖尿病肾病的中医证素分布，有利于统一及标准化中医辨证分型，为临床提供参考。
目的：以中醫藥辨證論治糖尿病腎病的期刊文獻資料為研究對象，攷察糖尿病腎病中醫證素分佈情況。方法檢索中國期刊數據庫( CNKI )、萬方數據知識服務平檯、維普數據庫從建庫至2014年8月9日糖尿病腎病中醫辨證分型的文獻。最終納入相關文獻159篇(單純辨證分型文獻111篇，辨證分型結閤疾病分期文獻48篇)，分彆統計病性證素和病位證素齣現的頻數。結果單純辨證分型中糖尿病腎病病位主要在腎、脾；病性以虛證為主，陰虛所佔比例最高。結閤疾病分期辨證分型中前期和早期糖尿病腎病病位主要在腎、脾、肝，病性以陰虛為主；中期病位在腎、脾，病性以暘虛、氣虛、陰虛併存；晚期病位在腎、脾，病性以陰暘兩虛為主。結論通過文獻研究糖尿病腎病的中醫證素分佈，有利于統一及標準化中醫辨證分型，為臨床提供參攷。
목적：이중의약변증론치당뇨병신병적기간문헌자료위연구대상，고찰당뇨병신병중의증소분포정황。방법검색중국기간수거고( CNKI )、만방수거지식복무평태、유보수거고종건고지2014년8월9일당뇨병신병중의변증분형적문헌。최종납입상관문헌159편(단순변증분형문헌111편，변증분형결합질병분기문헌48편)，분별통계병성증소화병위증소출현적빈수。결과단순변증분형중당뇨병신병병위주요재신、비；병성이허증위주，음허소점비례최고。결합질병분기변증분형중전기화조기당뇨병신병병위주요재신、비、간，병성이음허위주；중기병위재신、비，병성이양허、기허、음허병존；만기병위재신、비，병성이음양량허위주。결론통과문헌연구당뇨병신병적중의증소분포，유리우통일급표준화중의변증분형，위림상제공삼고。
Objective To reveal the distribution of the TCM syndrome elements in patients with diabetic nephropathy ( DN) , by searching the literature of TCM diagnosis and treatment on DN. Methods Relevant lit-eratures on treating DN by syndrome differentiation of TCM were retrieved in CNKI, Wangfang Data and VIP from the beginning to August 9 th , 2014. Syndrome elements of disease nature or of disease location were analyzed from 159 eligible literature divided into two parts:syndrome differentiation only ( n=111 ) and syndrome differentiation combined with clinical stage (n=48). Results From the litrature of syn-drome differentiation only, kidney and spleen were the most common syndrome elements of disease loca-tion, while yin deficiency was the most common syndrome elements of disease nature. By the contrast, from the literature of syndrome differentiation combined with clinical stage, the main syndrome elements of location were kidney, spleen and liver and the most common syndrome element of nature was yin defi-ciency at early stage;at middle stage, the main elements of location were kidney and spleen and of nature was deficiency syndrome including yin deficiency, yang deficiency and qi deficiency; at end stage, the main elements of location were still kidney and spleen and of nature was yin-yang deficiency. Conclusion Study on syndrome elements of DN from literature is favorable for standardization of clinical syndrome differentiation and providing reference for therapy.
