Approach to correlativity between nutritional status and TCM syndrome types of patients with maintenance hemodialysis
Objective:To approach the correlativity between nutritional status and TCM syndrome types of patients with maintenance hemodialysis.Methods:TCM syndrome questionnaire was made according to the diagnostic criteria of TCM.All subjects who were included in the study were investigated by TCM syndrome questionnaire and observed by four diagnostic methods.The clinical data of TCM syndromes were filled in,in order to determine TCM syndrome types.Before each patient underwent hemodialysis,the related laboratory indexes were detected,and BUN was checked after dialysis.The dry weight of patient and the dialysis adequacy(KT/V)after dialysis were recorded during dialysis on the same day as the detecting indexes.The nutritional status score,KT/V and the distributions of various laboratory indexes and TCM syndrome types of patients were compared.Results:Grouping according to the severity of PEM disease,the differences between distributions of various syndrome types was statistically significant(P＜0.05).When KT/V was 3.1～4.0,the patients with syndrome of deficiency of spleen qi and kidney qi and syndrome of damp-heat were the most.Grouping according to KT/V,the difference between distributions of various syndrome types was statistically significant(P＜0.05).Conclusion:In the early stage,the syndrome of deficiency in origin of patients with maintenance hemodialysis is dominated by syndrome of deficiency of spleen qi and kidney qi mainly,while the syndrome of excess in superficiality is dominated by syndrome of dampness turbidity and syndrome of blood stasis mainly.With the development of the disease,the syndrome of deficiency of both qi and yin and the syndrome of deficiency of both yin and yang show an obvious increasing trend;at the same time,long-term disease must lead to blood stasis,and deficiency of yin will cause wind,so as to increase the syndrome of blood stasis and syndrome of stirring wind,which is in line with the evolution law of TCM syndromes of chronic renal failure.
万方数据
维普
