Correlation between Constitution and Pattern in 600 Cases of Stage Ⅲ Chronic Kidney Disease

NI Yonghua; DONG Feixia; ZHAO Yanyun; ZHOU Yan; WANG Jianmin; CHENG Zhiwen; HU Zhen

doi:10.13288/j.11-2166/r.2013.21.014

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Correlation between Constitution and Pattern in 600 Cases of Stage Ⅲ Chronic Kidney Disease

更新时间：2021-11-17

- Correlation between Constitution and Pattern in 600 Cases of Stage Ⅲ Chronic Kidney Disease
- Journal of Traditional Chinese Medicine Vol. 54, Issue 21, Pages: 1847-1849(2013)
- 作者机构：
  
  1. 乐清市中医院
  2. 浙江中医药大学附属温州市中医院
  3. 浙江省永嘉县中医院
  4. 温州医科大学附属第二医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2013.21.014
  CLC： R277.5
- Published：2013
- 稿件说明：
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[1]倪永华,董飞侠,赵燕云,周艳,王建敏,程志文,胡臻.600例Ⅲ期慢性肾脏病患者体质与证候的相关性[J].中医杂志,2013,54(21):1847-1849+1862.

NI Yonghua, DONG Feixia, ZHAO Yanyun, et al. Correlation between Constitution and Pattern in 600 Cases of Stage Ⅲ Chronic Kidney Disease[J]. Journal of Traditional Chinese Medicine2013, 54(21): 1847-1849.
[1]倪永华,董飞侠,赵燕云,周艳,王建敏,程志文,胡臻.600例Ⅲ期慢性肾脏病患者体质与证候的相关性[J].中医杂志,2013,54(21):1847-1849+1862. DOI： 10.13288/j.11-2166/r.2013.21.014.

NI Yonghua, DONG Feixia, ZHAO Yanyun, et al. Correlation between Constitution and Pattern in 600 Cases of Stage Ⅲ Chronic Kidney Disease[J]. Journal of Traditional Chinese Medicine2013, 54(21): 1847-1849. DOI： 10.13288/j.11-2166/r.2013.21.014.

摘要

目的分析慢性肾脏病（CKD）Ⅲ期患者的体质、证候分布特点及二者的相关性。方法对600例CKDⅢ期患者进行中医体质问卷调查并根据四诊资料进行证候诊断

证候诊断分为气虚证、阳虚证、阴虚证、水湿证、湿热证、血瘀证、湿浊证

体质分类分为平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、瘀血质、气郁质、特禀质9种

统计600例患者体质类型分布和中医证候分布

并采用Pearson相关分析法探讨体质类型和中医证候的相关性。结果 600例CKDⅢ期患者体质主要为气虚质（30%）、阳虚质（20%）、瘀血质（15%）、湿热质（15%）

证候主要为气虚证（30%）、阳虚证（20%）、血瘀证（15%）、湿热证（15%）。相关分析显示

气虚质与气虚证、血瘀证、湿热证、阳虚证、水湿证、湿浊证呈正相关;阳虚质与血瘀证、气虚证、阳虚证、水湿证、湿浊证呈正相关;瘀血质与血瘀证、湿热证、气虚证、阳虚证、水湿证、湿浊证呈正相关;湿热质与湿热证、血瘀证、气虚证、阴虚证、水湿证、湿浊证呈正相关（P<0.05或P<0.01）。结论气虚质、阳虚质、瘀血质、湿热质是CKDⅢ期患者的常见体质类型

其体质类型与中医证候密切相关。

Abstract

Objective To research the distribution characteristics of constitution and pattern and analyze their relationship in patients with stage 3 chronic kidney disease（CKD）.Methods The TCM constitution questionnaire was conducted and TCM four diagnostic data was collected in 600 patients with stage 3CKD.The pattern diagnosis was divided into qi deficiency pattern

yang deficiency pattern

yin deficiency pattern

water-damp pattern

damp-heat pattern

blood stasis pattern and damp-turbidity pattern.The constitution was classified into gentleness type

qi deficiency type

yang deficiency type

yin deficiency type

phlegm-damp type

damp-heat type

blood stasis type

qi depression type and special type.The distribution of constitution and pattern in 600 patients was analyzed.The relationship between constitution and pattern was analyzed with Pearson correlation analysis.Results The common constitutions of 600 patients with stage 3CKD were qi deficiency type（30%）

yang deficiency type（20%）

blood stasis type（15%） and damp-heat type（15%）.The common patterns were qi deficiency pattern（30%）

yang deficiency pattern（20%）

blood stasis pattern（15%） and damp-heat pattern（15%）.The correlation analysis showed that qi deficiency type was significantly positively correlated with qi deficiency pattern

blood stasis pattern

damp-heat pattern

yang deficiency pattern

water-damp pattern and damp-turbidity pattern

yang deficiency type was significantly positively correlated with blood stasis pattern

qi deficiency pattern

yang deficiency pattern

water-damp pattern and damp-turbidity pattern

blood stasis type was significantly positively correlated with blood stasis pattern

damp-heat pattern

qi deficiency pattern

yang deficiency pattern

water-damp pattern and damp-turbidity pattern and damp-heat type was significantly positively correlated with damp-heat pattern

blood stasis pattern

qi deficiency pattern

yin deficiency pattern

water-damp pattern and damp-turbidity pattern（P<0.05 or P<0.01）.Conclusion The common constitution types of patients with stage 3CKD are qi deficiency type

yang deficiency type

blood stasis type and damp-heat type and the constitution types are closely related with TCM pattern.

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