Analysis Of TCM Syndrome Types And Related Factors In Chronic Kidney Disease 3-5 With Anemia

Purpose:This study mainly used retrospective research to analyze the distribution of TCM syndrome types of chronic kidney disease(CKD)3-5 stages with anemia(RA),and the correlation between TCM syndrome types and related laboratory indicators,with the purpose of dialectical classification of TCM To explore chronic kidney disease 3-5 stages with anemia from the angle of view,and provide better help for clinical treatment and guidance.Material and method:The samples of this subject are mainly derived from patients who were hospitalized in the Department of Nephrology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2018 to January 2019,and met the diagnostic criteria for chronic kidney disease(CKD3-5)combined with anemia.After inclusion criteria and exclusion Standard screening,a total of 105 cases were included;the data of 105 patients were collected,the main contents include: general information,relevant laboratory indicators,detailed four-diagnosis information,and the formulation of "Clinical Information on Chronic Kidney Disease 3-5 Stages with Renal Anemia Collection Form",fill in the above information truthfully into the form for dialectical typing,and use statistical methods to conduct retrospective analysis.Results:1.CKD 3-5 stage with anemia TCM syndrome distribution status: spleen and kidney yang deficiency syndrome in this deficiency syndrome> spleen and kidney qi deficiency syndrome> qi and yin deficiency syndrome> yin and yang deficiency syndrome> liver and kidney yin deficiency syndrome;standard dampness Turbidity syndrome>damp-heat syndrome>blood stasis syndrome>water-gas syndrome>wind-movement syndrome.2.Age distribution of CKD 3-5 patients with anemia: the largest proportion is in the 40-69 age group,and there is no significant difference between TCM syndrome type and age.3.The relationship between TCM syndrome type and gender,anemia staging,and CKD staging: There is no significant difference between TCM syndrome type,gender and anemia staging(P>0.05);there is a significant difference between standard syndrome and CKD staging(P<0.05),There was no significant difference between the staging of this deficiency syndrome and CKD(P>0.05).4.There is no statistical significance between TCM syndrome type and blood creatinine,urea nitrogen,blood uric acid,blood phosphorus,carbon dioxide binding capacity,and urine protein level(P>0.05);5.There was no significant difference between the standard test and parathyroid hormone,red blood cell count,hemoglobin(P>0.05);the difference between the standard test and blood calcium was statistically significant(P<0.05).The difference between this deficiency syndrome and parathyroid hormone,red blood cell count,and hemoglobin was statistically significant(P<0.05);there was no significant difference between this deficiency syndrome and blood calcium(P>0.05).Conclusion:1.CKD3-5 patients with anemia are the largest in the 40-69 years old age group,and the incidence is more inclined to middle-aged and elderly people.2.In CKD3-5 patients with anemia,the primary deficiency syndrome is mainly spleen-kidney yang deficiency,and the standard syndrome is mainly damp turbidity,and the standard syndrome is closely related to CKD staging.3.With the progress of CKD,the number of anemia is increasing,and the degree of anemia is also increasing.4.PTH is closely related to CKD renal anemia,and the average PTH level of liver and kidney yin deficiency syndrome is the highest.