Clinical Analysis on TCM Syndrome Patterns and Syndrome Elements of Acute Kidney Injury after Severe Trauma
Objective:To provide a reliable basis for the traditional Chinese medicine(TCM)diagnosis and treatment of patients with acute kidney injury(AKI)following severe trauma by summarizing and generalizing the TCM syndrome patterns and syndrome elements in 86 cases through a combination of clinical investigation and ret-rospective research.Methods:A total of 107 cases of patients with AKI following severe trauma from the Emer-gency Trauma Department,Intensive Care Unit,And Internal Medicine Department of Wendeng Osteopathic Hospi-tal in Shandong Province were collected from January to December 2023.Among them,86 cases met the inclusion criteria.TCM syndrome differentiation was applied,and statistical classification of the disease location and nature syndrome elements was conducted to analyze their clinical characteristics.Results:Among the 86 cases of AKI following severe trauma,the TCM syndrome differentiation mainly included stasis and qi stagnation type,spleen-kidney yang deficiency with water retention type,stasis with water retention type,exuberant heat-toxin type,spleen-kidney qi deficiency with blood stasis type,liver-kidney qi-blood deficiency type,and dampness-phlegm blocking middle energizer type.Ten disease location syndrome elements were identified,most commonly involving the kidney,spleen,stomach,liver,and bladder.Twelve disease nature of syndrome elements were recognized,nota-bly including blood stasis,toxicity,yang deficiency,water retention,qi deficiency,blood deficiency,qi stagnation,dampness,and obstruction.Conclusion:The disease location and nature syndrome elements in the 86 cases of AKI following severe trauma align with traditional TCM syndrome differentiation.Syndrome element differentiation more clearly reveals the disease location,nature,and pathogenic factors,facilitating the formulation of unified syn-drome differentiation and therapeutic approaches.Thus,in clinical practice,syndrome element differentiation can be adopted to reduce the bias caused by subjective judgment of medical practitioners.
Severe traumaAcute kidney injuryTCM syndromeSyndrome element
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