Objective To investigate the distribution of Chinese medicine patterns in patients with continuous ambulatory peritoneal dialysis(CAPD)combined with renal space anemia,and their relationship with various indicators.Method 292 patients were selected from the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine who had been treated with CAPD for more than 3 months,and the demographic characteristics and clinical data of the patients were collected,and they were divided into renal anemia group(n=274)and non-renal anemia group(n=292)according to the occurrence of anemia during the hospitalization period,compa-ring the relationship between the two groups in terms of gender,age,laboratory indexes,and other factors,and observing the charac-teristics of the traditional Chinese medicine pattern distribution in the renal anemia group.Results Among all patients,the distribution of this deficiency and the standardized solid evidence were most occupied by spleen and kidney qi deficiency and blood stasis,respec-tively.There were significant differences in the distribution of dialysis age,aspartate aminotransferase,blood albumin,total blood cal-cium,ultrasensitive C-reactive protein,parathyroid hormone,and comment hemoglobin in this deficiency evidence(P＜0.05)and par-athyroid hormone in the standard evidence(P＜0.05).Multiple logistic regression showed that blood albumin was a protective factor for patients with CAPD combined with renal anemia(P＜0.05),and blood creatinine was a risk factor for patients with CAPD combined with renal anemia(P＜0.05);the ROC curve showed that the best cut-off value of blood albumin for predicting CAPD combined with renal anemia was 33.95 g/L,with an AUC of 0.821,sensitivity of 68.6%,and specificity of 88.9%(P＜0.05);the best cut-off val-ue of blood creatinine for predicting CAPD combined with renal anemia was 638.10 μmol/L,with an AUC of 0.722,sensitivity of 69.7%,and specificity of 66.7%(P＜0.05);the combination of the two predicted CAPD combined with renal anemia with an AUC of 0.889,sensitivity of 89.9%,and specificity of 78.8%(P＜0.05).Conclusion The distribution of Chinese medicine patterns in pa-tients with renal anemia in CAPD was dominated by spleen and kidney qi deficiency patterns and blood stasis patterns,and the distri-bution of dialysis age,aspartate aminotransferase,blood albumin,blood total calcium,ultrasensitive C-reactive protein,parathyroid hormone,and hemoglobin in Chinese medicine patterns form different.Blood albumin and blood creatinine can be used as one of indi-cators for predicting combined renal anemia in patients with CAPD,and the accuracy of their combined testing is higher.
Continuous ambulatory peritoneal dialysisRenal anemiaChinese medicine evidenceRelated factors analysis
维普
万方数据
