| ObjectiveTo Analysis the peritoneal dialysis patients with TCM Syndromeof total fluid removal, and to study the correlation of the twocomplications of peritoneal dialysis patients, prevention andtreatment of peritoneal dialysis patients with Chinesemedicine disease to provide new ideasMethods1Randomly selected from May2012to January2013in Wuhan CityWestern Medicine Hospital peritoneal dialysis center linemaintenance dialysis for three months or more, and the generalstability of the patients included in the study TCM syndrometype.2Patients met the inclusion criteria by the dialysis centerdoctors and research group hand and syndromes analysis,summarized TCM syndrome characteristics, based on the totalamount of water clearance (total fluid removal, TFR) patientswere divided into A, B groups, A group TFR≥1000ml/d, group BTFR<1000ml/d.3Observation of A, B two sets of TCM syndromes distribution,including the deficiency and the standard empirical.4A, B two biochemical markers to compare observed correlation of the total water removals and biochemical indicators.5Statistical two groups due to the number of cases ofcomplications in hospitalized patients, total water removals,TCM syndrome and complications of peritoneal dialysis patientscorrelation.6Statistical analysis: Data were expressed as mean±standarddeviation(±S),measurement data with the mining t-test,multiple analysis of variance was used to compare the count datausing the chisquare test, P<0.05statistically significantResults1Chinese medicine of the card with the total water removalsrelations: A group of101patients in the distribution ofChinese medicine this certificate were52cases of spleen andkidney qi deficiency, spleen deficiency syndrome14cases,15cases of liver kidney yin, both Qi and Yin deficiency in13cases,seven cases of yin and yang deficiency of both group B53casesof patients with traditional Chinese medicine this certificatedistribution were15cases of spleen and kidney qi deficiency,spleen deficiency syndrome in7cases,20cases of liver kidneyyin, and Yin seven cases of deficiency of both yin and yangdeficiency of both cases, the X2test, the total compositionof A, B two sets of TCM syndromes of the card than there aredifferences, pairwise comparisons found, spleen and kidney Qitype of group A was significantly more than in group B, betweenthe two there is a significant difference(P<0.05); liver kidneygroup B was significantly more than Group A, between the twothere is a significant difference (P<0.05).2TCM standard card with the total water removals:153patientsof Chinese medicine standard card distribution were54cases of turbid damp, damp-heat syndrome in35cases,48cases ofblood stasis, heat-toxin syndrome10cases, pneumatic card sixcases A group of cases were37cases,25cases,29cases,4cases,4cases. X2test, A, B two sets of standard card constitutesno significant difference (P>0.05)3The the general total water removals relationship:154patients A, B two groups the average duration of dialysis for37.2±27.4months,99.1±24.1months, the statistical analysis asignificant difference P<0.05, A, B mean age for group A was57.1±10.1years old, B group was58.9±13.1years old, bothsignificant difference by statistical analysis; between thetwo groups of primary disease distribution was no significantdifference p<0.054Biochemical indicators correlation with the total waterremovals: A, B mean total renal blood urea nitrogen clearanceindex were1.9±0.4,1.7±0.5, t-test was statisticallysignificant(p<0.05), the average residual renal urea clearanceindex were0.4±0.1,0.2±0.1, was statistically significantby t-test, two groups of dialysis urea clearance index were1.5±0.3,1.5±0.4, t-test was not statistically significant;spleen and kidney in group A Deficiency in patients withresidual renal yin and yang of residual renal function inpatients compared with statistical significance(p<0.05);group B spleen and kidney qi deficiency, spleen and kidney yangresidual renal function and Yin Deficiency type, The yin andyang residual renal function was statistically significant (p<0.05); A and B two sets of average C-reactive protein were6.1±2.6mg/L,10.1±4.3mg/L,t-testwas statistically significance(p<0.05); A and B two sets of average total renal creatinine clearance rates were60.0±22.2,49.8±11.7, was statisticallysignificant (p<0.05) by t-test; A, B two sets of average totalurea nitrogen clearance index was1.9±0.4,1.7±0.5, t-testwas statistically significant(p<0.05); the mean hemoglobinwere102.7±22.6g/L,97.8±22.4g/L, mean serum albumin were38.3±3.5g/L,36.8±4.0g/L, the average blood phosphorus levelof1.9±0.5mmol/L, respectively,2.0±0.8mmol/L, the averageof parathyroid hormone were of321.7±201.3pg/l456.4±318.2pg/l, t-test, two groups of hemoglobin, serum albumin,phosphorus, parathyroid hormone level was no significantdifference(p＞0.05).5Complications of total water removals relationship: In thisstudy,154patients, the occurrence of complications inhospitalized patients with66cases: cardiovascular andcerebrovascular complications in patients39,13infectedpatients, malnutrition9other complications in patients withcomplications in group A number of cases were23,8,4,2, Bgroup, the number of cases of complications were16,5,5,5,3, both of which were statistically significant difference.6Complications and TCM Syndrome Types:154patients,68casesof spleen and kidney Qi, the occurrence of complicationsadmission in20cases,35cases of liver and kidney, theoccurrence of complications admission in18cases, spleendeficiency syndrome23cases, the complications admission in4cases,23cases of Qi Deficiency, the occurrence ofcomplications admission in19cases,12cases of Yin and Yangdeficiency, the occurrence of complications admission in6patients, and the incidence of complications spleen and kidneyQi deficiency and29.4%,41.1%of the liver and kidney, spleen and kidney yang18.1%Qiyinliangxu82.6%,50%of the yin andyangConclusion1Maintenance peritoneal dialysis patients with traditionalChinese medicine this card up to the spleen and kidney qideficiency, marked cards to the most turbid damp, blood stasisfollowed.2Total water removals and Chinese medicine this certificate,the total amount of water clearance≥1000ml/d TCM SyndromePatterns of spleen and kidney Qi, the total removal of waterfrom the amount of<1000ml/d in patients with TCM syndromesmainly in liver and kidney.3Peritoneal dialysis patients with total water removals nosignificant relationship with the Chinese standard card.4Peritoneal dialysis patients with total water removalspatients with peritoneal dialysis age, age has a certainrelationship, dialysis for a long time, older patients lesswater clearance. Total renal urea clearance index, residualrenal urea clearance index, C-reactive protein and total waterremovals, the total amount of water clearance≥1000ml/d inpatients with renal urea clearance index, residual renal ureaclearance index, C-reactive protein compared with the totalwater removals<1000ml/d patients.5Total water removals<1000mL/d of the incidence ofcomplications in patients was significantly greater than thetotal amount of water clearance≥1000ml/d in patients.6Chinese medicine this certificate complications relationshipincidence of Qiyinliangxu complications spleen and kidney yang, the highest incidence of complications minimum... |
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