Study On The Risk Factors Of Chronic Kidney Disease In The Elderly And The Pathogeny Of TCM

Objective: To study the correlation between the risk factors of chronic kidney disease in the aged and the etiology of TCM by literature study and clinical etiology analysis,and to analyze and discuss the correlation according to the theory of Traditional Chinese medicine,so as to prevent and intervene early from the perspective of "preventive treatment of disease" in traditional Chinese medicine,so as to reduce the incidence of elderly CKD.Guide treatment to improve renal function and clinical symptoms in order to improve the quality of life of the elderly.Methods: This study was divided into two parts.One was to summarize the risk factors of elderly chronic kidney disease by means of literature study and meta-analysis.The second is to use clinical research,to meet the requirements of the object for a questionnaire survey,the collection of clinical data for sorting,statistics,analysis.Results:(1)Meta-analysis results showed that diabetes history,hyperlipidemia,obesity,abdominal obesity,hypertension history,age and other factors were related to the incidence of elderly CKD.After combined effect sizes,the OR value and confidence interval were 1.67(1.40-1.97),1.39(1.26-1.54),1.17(1.09-1.25),1.34(1.19-1.49),2.10(1.68-2.61),and 1.09(1.04-1.16),respectively.(2)Multivariate regression analysis showed that occupational activity intensity,high-protein diet,history of hypertension,history of diabetes,susceptibility to panic and other factors were significantly correlated with senile CKD(P < 0.05,OR > 1).(3)The main causes of "positive deficiency" were kidney qi deficiency,spleen qi deficiency,kidney Yang deficiency and spleen Yang deficiency.The main pathogenesis is dampness,phlegm,blood stasis,water stasis and heat.Conclusion: The onset of CKD in the elderly is insidious and the symptoms are not typical.Therefore,"preventing disease" is particularly important in the prevention and treatment of senile CKD.The elderly should pay attention to the care of kidney qi.The elderly should pay attention to the care of kidney qi.They need to eat a balanced diet at regular times,arise and retire at regular hours,avoid overstrssing their bodies and minds,and refrain from overindulgence of all kinds.Only then can they maintain effective prevention for the cause of disease.Attention should also be paid to the control of blood sugar,blood pressure,blood lipids,active treatment of the primary disease,to prevent the disease.