Case 185 Interrelated Analysis Of IgA Nephropathy Between Various Clinical Pathology Stages And Chinese Medicine Symptoms

BackgroundIgA nephropathy is a kind of common primary glomerulus disease, it is the membrane district as the characteristic that the immune complex relying mainly on the fact That immune pathology of the kidney reveals IgA is deposited in the kidney small ball this disease can happen in any Age, its clinical manifestation is varied, is a common primary glomerulus disease which cause latter stage of end kidney trouble.Object ivesThis subject through for August 2002-Guangdong Province institute of traditional Chinese medicine kidney department of internal medicine kidney punctures competent examine livingly skill the pathologies brief on to the pathologies of patient of IgA nephropathy March 2011 year and Bed materials go on, gather, find out about morbidity trend, IgA of nephropathy, understand pathology of disease this wait connection that is distribute with Chinese medicine card by stages, offer the modern pathologic respect to get the objective index dialectically for Chinese medicine, and then improve traditional Chinese and western medicine and treat competence.MethodsAdopt research approach of reviewing etc., collect will it be August-will it be March 2011 year 2002 such as department of internal medicine such as kidney such as institute of traditional Chinese medicine such as Guangdong Province because kidney trouble through leather kidney living general materials to examine patient, organize the credit type to revise the scheme according to WHO glomerulus disease, renal tubule rooms of quality disease, kidney blood vessel disease, combine clinical materials, laboratory and check, immune pathology and ultra micro-structure change the characteristic, diagnose as 185 patients of IgA nephropathy clearly in pathology. And then go on to every case according to 1977 annual nephritis forum of Chinese Medical Association of Bei Dai River and dialectical dividing type scheme that was revised of academic meeting of nephropathy of the second Chinese medicine of the whole country of 1986 Dialectical dividing type of Chinese medicine. Until result count, appear our academy kidney examine patient clinical materials, pathologic type and Chinese medicine distribution situation that card wait while being living frequently, employ statistics method that relevance analyze differentiate Chinese medicine of disease this card wait, kidney examine pathology by stages while being living and relevant clinical data go on relevance analyze, analyze its concrete, inherent relevance connection.ResuIts1. Competent kidney puncture, patient of group, this mean age at the living skill of examining(32.34±10.049) Years old is high to send age bracket 20-39 year old, high to send age bracket 20-39 year old, about 71.9% of proportion; Age is the 13 years most younger, the 59 years most older. Man 55 case (Accounts for 29.7%), Women 130 case (Accounts for 70.3%), Men and women proportion about 1:2.4.2. Unusually person in order to see more by urine examination the materials clinical manifestation of this group,73 altogether (Account for 39.5%), Among them blood in the urine person who consults reason 47 (Accounts for 25.4%), Proteinuria check reason person 26 (Accounts for 14.1%); Chronic glomerulus 54 of nephritis respectively secondly (Accounts for 29.2%), nephritis 34 more (Accounts for 18.4%), nephropathy 20 more (Accounts for 10.8%),4 more (Accounts for 2.2%). The TCM diagnosis for edema (16.8%), 31 patients who nixie 86 patients (46.5%), urine the turbidity 51 cases (27.6%), others (such as lumbago, etc.) of 17 cases (9.2%).3. There is blood in the urine in various degree in the materials of this group, can accompany or not accompany the proteinuria, urine among them occult blood the negative person and occult blood+-person 10 cases respectively (Accounts for 5.4%), Occult blood for 1+person 25 Accounts for 13.5%), Occult blood 2+person 35 case (Accounts for 18.9%),Occult blood 3+person 72 case (Accounts for 38.9%),4+person 33.case (Accounts for 17.8%). Clinical manifestation for a large amount of proteinuria (≥3.5g/24h) Patient 29 case (Accounts for 15.7%),The proteinuria is smaller than 87 patients of 1g (Accounts for 47%), Proteinuria in 1g 46 patients in 2g (Accounts for 24.9%), The proteinuria is to 23 patients of 3.5g in 2g (account for 12.4%), It is with the slight proteinuria in order to mainly behave to brief on IgA nephropathy.4.The phased respect of pathology, see more most with HassI type and HassIII type,106 altogether (account for 57.3%), Among them HassI type amounts to 54 (Accounts for 29.2), HassIII type 52 case (Accounts for 28.1%), Secondly it is HassII type 40 respectively (Accounts for 21.6%), HassIV type 31 case (Accounts for 16.8%), HassV type 8 case (Accounts for 4.3%). Every pathology the main clinical manifestation with urine examination by stages, take 51.6%, 40.5%,71.7%,30.2%,6.0%separately.5.The our academy IgA nephropathy patient's Chinese medicine card is waited by originally marking timid 1y really as the main fact, the person who doesn't have originally timid card is only 10.175 patients contain the originally timid card, is shown as and originally marked 166 the real ones timidly (89.7%), Simple timid card person 9 (4.9%), Simple real example person 10 (5.4%). Among them deficiency of vital energy person sees the kidney of spleen at most,120 (64.9%), Angry overcast two empty 39 respectively secondly (21.1%), liver kidney deficiency of Yin 13 case (7%), spleen kidney deficiency of yang person 2 case (1.0%), lung kidney deficiency of vital energy 1 case (0.5%). In 176 persons who include and mark the real example,128 damp and hot cards (72.7%) In order to see at most, secondly it is 115 blood silt cards respectively (65.4%), wet turbid card 25 (14.2%), water wet card 13 (7.4%), other (For instance the geomantic omen is fought) 7 (4%).ConclusionIgA nephropathy is our country's most common primary glomerulus disease, and one of the main diseases which cause latter stage of end kidney trouble, its high to send age bracket 20-39 year old; The Chinese medicine card waits the respect, the materials of our institute reveal by originally marking the real example emptily in order to see more, deficiency of vital energy of the kidney of spleen among them, the damp and hot card, in order to witness waiting most frequently, and most patients have blood silt cards concurrently. So should pay attention to the kidney of benefit in order to invigorate the spleen, clear away heat to dispel in treating wetly in order to treat fundamental laws and principles, drink with the product of blood circulation promoting silt. This group of materials reveal, it does not relatively have obvious difference that the card among different pathologic types is waited and distributed.