CAJ | 학술논문

目的：探讨肾实质性高血压的中医证型同肾脏病理损害等因素之间的相关性。方法：随机选取我院于2011年11月-2014年2月期间收治的98例肾实质性高血压患者，对其临床资料进行回顾性分析，对其中医证型分布、肾脏病理及高血压分级等因素之间的相关性进行讨论。结果：98例肾实质性高血压患者中以虚证最为常见，共计79例（80.6%），其中最多为脾肾两虚型，其次为肾气阴两虚型；在IgA肾病患者中，多为肝肾阴虚型（90.5%），其次为脾肾两虚型（26.5%）和肾气阴两虚型（26.5%）；膜性肾病中，以肾气阴两虚型最为常见（55.6%）；肥胖相关性肾小球病中，以肾气阴两虚型最为常见（44.4%）。结论：不同的肾脏病理损害同患者的中医辨证分型结果之间存在一定的相关性，但是仍需进一步深入研究。
목적：탐토신실질성고혈압적중의증형동신장병리손해등인소지간적상관성。방법：수궤선취아원우2011년11월-2014년2월기간수치적98례신실질성고혈압환자，대기림상자료진행회고성분석，대기중의증형분포、신장병리급고혈압분급등인소지간적상관성진행토론。결과：98례신실질성고혈압환자중이허증최위상견，공계79례（80.6%），기중최다위비신량허형，기차위신기음량허형；재IgA신병환자중，다위간신음허형（90.5%），기차위비신량허형（26.5%）화신기음량허형（26.5%）；막성신병중，이신기음량허형최위상견（55.6%）；비반상관성신소구병중，이신기음량허형최위상견（44.4%）。결론：불동적신장병리손해동환자적중의변증분형결과지간존재일정적상관성，단시잉수진일보심입연구。
Objective:To explore the related factors of TCM syndromes and clinical pathology in 98 cases of renal hypertension. Methods:98 cases of renal hypertension in our hospital from November 2011 to February 2014 were randomly selected. Clinical data were retrospective analyzed. The correlation among the TCM syndromes, renal pathology and the hypertension classification were explored. Results:The common disease type in 98 cases of renal hypertension was Xu syndrome. There was 79 cases (80.6%). Most of them were Pishen Liangxu type, and then were Shen Qiyin Liangxu type. Most of the IgA nephropathy patients were Ganshen Yinxu type (90.5%), and then were Pishen Liangxu type (26.5%) and the Shen Qiyin Liangxu type (26.5%). Most of the membranous nephropathy were Shen Qiyin Liangxu type (55.6%). The most of the Obesity-related glomerulopathy were Shen Qiyin Liangxu type (44.4%). Conclusion:There were related factors among different clinical pathologies and TCM genotyping results, but still need further studying.