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腹膜透析患者转运类型的中医证型及影响因素OA

Traditional Chinese Medicine Syndrome Types of Penritoneal Dialysis Patients and Influencing Factors

中文摘要英文摘要

目的:分析腹膜透析(PD)非充分患者不同转运方式的影响因素及与中医证型的关系.方法:将94 例腹膜透析非充分患者,根据转运功能分为低平均转运组 24 例、高平均转运组 37 例及高转运组33 例,分析人口学因素、实验室指标及中医证型的差异.结果:1.在白蛋白(ALB)方面,三组间中位分布有统计学差异,高转运组患者的ALB水平最低,低平均转运组的ALB水平最高;将ALB转换为等级变量,结果提示低ALB患者人群中以高转运为主,ALB达标则以高平均转运为主.2.不同转运功能的中医本证分布有统计学差异(P<0.05),其中低平均转运组主要以脾肾气虚证为主,高平均转运组主要以脾肾阳虚证为主,高转运组主要以气阴两虚证为主.结论:高转运组患者要注意白蛋白水平的监测,不同转运方式的中医证型有明显差异,考虑可能与不同转运方式的功能相关.

Objective:To analyze the influence factors of different transport modes in patients with incomplete peritoneal dialysis(PD)and their relationship with TCM syndrome types.Methods:94 patients with insufficient peritoneal dialysis were selected and divided into low mean transport group,high mean transport group and high transport group according to transport function.The differences of demographic factors,laboratory indexes and TCM syndrome types were analyzed.Results:1.In terms of albumin(ALB),the median distribution among the three groups had statistical difference,the ALB level in the high transport group was the lowest,and the ALB level in the low mean transport group was the highest;ALB was converted into a grade variable,and the results suggested that high transport was dominant in patients with low ALB and high mean transport was dominant in patients with ALB.2.There were statistical differences in the distribution of TCM syndrome with different transport functions(P<0.05).The low average transport group was mainly dominated by spleen-kidney qi deficiency syndrome,the high average transport group was mainly dominated by spleen-kidney Yang deficiency syndrome,and the high transport group was mainly dominated by Qi-yin deficiency syndrome.Conclusion:Patients with high transport should pay attention to the monitoring of albumin level.There are obvious differences in TCM syndrome types of different transport modes,which may be related to the function of different transport modes.

程力;杨园园;万胜;闵永龙;朱前深;李红波

武汉市第一医院·湖北 武汉 430000湖北中医药大学·湖北 武汉 430000武汉市第一医院·湖北 武汉 430000武汉市第一医院·湖北 武汉 430000武汉市第一医院·湖北 武汉 430000武汉市第一医院·湖北 武汉 430000

腹膜透析转运方式中医证型

peritoneal dialysistransport modeTCM syndrome types

《中国中医药科技》 2026 (1)

1-4,4

湖北省武汉市医学科研项目(WX21B20)

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