The Investigation And Study Of Peritoneal Dialysis Patients' Syndrome Of Chinese Medcine

ObjectiveAlmost all chronic kidney disease continued to the end of Progressive renal dysfunction if does not have the reversible factor, when it develops the end last stage slowly, namely uremia time. In this time the main method of treatment is dialysis and the kidney transplant, cannot only use the Chinese native medicine absolutely to treat with. The peritoneal dialysis is the effective kidney substitution method of treatment that can reduce in vivo metabolism waste and water retention too. But on the clinical peritoneal dialysis patient cannot achieve frequently the peritoneal dialysis the perfect condition, simultaneously the peritoneal dialysis complication also is affecting patient's survival rate unceasingly. Past studies have shown that application of Chinese Medicine with peritoneal dialysis treatment of chronic renal failure to improve dialysis effects, improve patient symptoms and signs, treatment complications. But now there are very few of peritoneal dialysis patients with syndrome of Chinese Medicine, still needs the help of clinical epidemiology research methods and use of statistical analysis tools to help from the complicated Chinese medicine clinical symptoms of peritoneal dialysis in the combination of symptoms identified by Poly Class of the law. This research is about chronic renal failure of peritoneal dialysis patient's syndrome distribution, better guidance of dialectical therapy, Improve the efficacy, showe that the advantages of Chinese Medicine.MethodsAccording to the chronic renal failure uremia time diagnosis standard, selected in from the Guangdong Province Of Traditional Chinese Medicine Hospital in Kidney department's in-patient from September, 2000 to February, 2008 the period's peritoneal dialysis patient, altogether 80 example patients, in which male 39 examples, female 41 examples; The youngest 29 years old, the oldest 75 years old, the average was 56. 66 .±1.35 years old, the course of disease last 6 month - for 31 years. The primary affection respectively be chronic renal glomerulonephritis 30 examples (37.5%), diabetes 27 examples (33.75%), hypertension 17 examples (21.25%), obstruction nephropathy 3 examples (3.75%), chronicity interstital nephritis 2 examples (2.5%), ischemic nephrosis 1 example (1. 25%). Review investigation the peritoneal dialysis patients' syndrome, construction of peritoneal dialysis TCM Syndrome type and information databases, extracting elements of the syndrome and statistical analysis, the main indicator of statistical methods including descriptive analysis, cluster analysis.ResultsThe study of 80 cases of patients with syndrome of Chinese medicine through cluster analysis that peritoneal dialysis patients with chronic renal failure respectively: 1. deficiency of the spleen-Qi and kidney-Qi, and dampness blocking in middle-JIAO, a total of 38 cases (47. 5%); 2. deficiency of both the vital energy and yin, and damp turbidity internal resistance card eight cases (10%); 3. Liver-kidney yin deficiency, and damp blood stasis accumulation two cases (2.5 percent), 4. deficiency of the spleen-yang and kidney-yang, internal accumulation of sludged blood of 12 cases (15%), 5. Spleen and kidney deficiency, and 20 cases of hot and humid (25%), the statistical test, P<0.05, a significant statistical significance. The survey showed that peritoneal dialysis early Syndrome performance was mainly deficiency of the spleen-Qi and kidney-Qi, and dampness blocking in middle-JIAOConclusionThis study shows that, PD patients with common type certification were: 1. deficiency of the spleen-Qi and kidney-Qi, and dampness blocking in middle-JIAO; 2. deficiency of both the vital energy and yin, and damp turbidity; 3. Liver-kidney yin deficiency, and damp blood stasis accumulation ;4. deficiency of the spleen-yang and kidney-yang, internal accumulation of sludged blood ;5. Spleen and kidney deficiency, hot and humid type.