Renal Bone Disease Patients In Tcm Syndrome Characteristics And Dialysis Age, Primary Disease And The Research Of The Relativity Of The Quality Of Survival

Renal osteodystrophy (ROD) is common in patients with chronic renal insufficiency complications, almost involving the end-stage of chronic kidney disease patients. ROD lead to morphological changes in metabolic bone of a skeleton of calcium and phosphorus metabolism disorders, chronic renal failure can cause changes in bone strength, bone growth abnormalities, thereby increasing the calcium and phosphorus metabolism disorders, itching of skin, anemia nervous system and cardiovascular system damage, a serious impact on patient survival and quality of life. With the development of hemodialysis, chronic renal failure patients, the survival rate and survival time to improve and extend, and thus their quality of life has received extensive attention. With the increase of patients with chronic renal failure, renal osteodystrophy increasing number in recent years on the basis of conventional Western medicine treatment of renal osteodystrophy, the joint treatment of Chinese medicine has played a huge role in the prevention and treatment of renal osteodystrophy, the advantage is gradually emerging. This topic is cross-sectional study to observe the quality of life of renal osteodystrophy in patients with different dialysis age and evidence of the primary disease syndrome distribution law, and different syndromes, dialysis age of patients, and explore each dialysis age and primary disease of TCM syndrome distribution features, evolution, and different syndromes, change characteristics of the patient’s quality of life of dialysis age.1Research PurposesIn this study, cross-sectional observation of the long-term hemodialysis patients with chronic renal failure, renal osteodystrophy, the statistics observed in different dialysis age and primary disease of TCM syndrome distribution laws of the characteristics of different syndromes, patients with dialysis agequality of life, relatively objective evaluation based on clinical joint Chinese medicine treatment of renal osteodystrophy.2Rresearch MethodsSelected met the inclusion criteria in patients with renal osteodystrophy, a total of192cases, symptomatology survey and record all the enrolled patients, according to the renal osteodystrophy of TCM syndrome type designate the characteristics of all eligible cases, divided into yin and yang, twotrue, phlegm and resistor (a), yang and dampness, phlegm, internal resistance (b), yin deficiency heat, phlegm resistance (c) three.①observation of patients in each group at different dialysis age (≤36months A, B,36to72months,72months C groups) and the primary disease (chronic glomerulonephritis Ⅰ, diabetes Ⅱ, hypertension Ⅲ, other IV four groups), the frequency and distribution characteristics;(2) included in the study compared192cases of patients with renal osteodystrophy, a, b, c three groups of different syndromes of survival quality, and A, B, C, three different groups of patients with dialysis age of survival quality.3Results3.1Distribution of TCM syndromes in different dialysis agesDialysis age less than36months and dialysis age of the patient population of36to72months of patient population in the yin and yang, yang, yin deficiency group, no significant difference in the distribution. The yin and yang the highest proportion (55.6%) in patients with dialysis age greater than72ROD, the yin and yang type of distribution is relatively small, and no significant difference between the two groups.3.2Distribution of TCM syndrome type in different primary diseases(1) Primary disease of yin and yang in the group of patients with chronic nephritis the highest proportion (46.8%).(2)Primary disease of yin deficiency in the diabetes group the highest proportion (48.3%), yin and yang, followed by (38.3%), Yang and type at least (13.3%).(3)No significant difference in various types of distributions of the primary disease patients with hypertension.(4)Original incidence of three common complications of syndromes of yin and yang (51.7%), Yang (27.6%), followed by yin deficiency (20.7%) at least.3.3Distribution of the primary disease in different ages of the dialysis ROD patientsWith the gradual increase dialysis age growth of the primary disease for patients with chronic glomerulonephritis, diabetic nephropathy in patients gradually reduced the original incidence of hypertension in patients with no obvious regularity.3.4The relationship between iPTH and TCM syndrome, dialysis age, primary diseaseThree different TCM syndrome and primary disease in patients with iPTH levels between the two groups were no significant differences (P>0.05); three different groups of patients with dialysis age of serum iPTH levels were significant differences (P values<0.05), and a gradually increasing trend with the dialysis age grew.3.5Quality of life of patients with ROD and TCM syndromeNo significant difference between the physiological function, bodily pain, general health:a group of the worst, b, c group; physiological functions, energy ratings, social functions:a set of the worst, and significant differences compared to b, c (all P<0.01), while b, c group, no significant difference between; feelings of functions:a group no significant difference in b, c, c group than in the group b ideal; mental health:c group the best group b followed by a group of mental health the worst; physical health measurement:the worst group a, b, c compared to the ideal, but between the two groups no significant difference; mental health measurement:a very significant difference among the three groups, and c the best group, followed by group b, a group of the worst; quality of life score evaluation:a group of the worst, b, c compared to the ideal, but there were no significant differences.3.6Quality of life of patients with ROD and dialysis agePhysiological functions, physical function, bodily pain, energy ratings, social functions, group C patients with the worst group A the best; the general state of health:the optimal A, C, followed by B the worst; feelings of functions:the worst A, C, followed by B is best; mental health:the optimal C, followed by B, A, the worst; physical health measurements:A, the best, followed by B, C the worst; mental health measurement:the optimal B, A, times, C the worst; score:B the best, followed by A, C, the worst.4Conclusion4.1ROD patients with evidence of climate change in line with the trends in the development of the disease law, along with dialysis age and duration of the louder, the yin and yang, phlegm and blood stagnation syndrome is most common that they, and the vacuity of renal osteodystrophy, false is mixed diseasemachine characteristics consistent.4.2Primary disease for patients with chronic nephritis ROD common deficiency of both yin and yang, the primary disease is more common yin deficiency and yin and yang deficiency in the diabetic patient population, Yang less card in the primary disease for patients with hypertension designate no significant difference in the distribution of its distribution characteristics to consider with all the original certificates of onset and pathogenesis characteristics can be used as a reference for TCM syndrome differentiation.4.3Primary disease was chronic glomerulonephritis in patients with dialysis age longer, and relatively long survival time in patients with diabetic nephropathy, dialysis age shorter survival time is relatively short.4.4Quality score of the yin and yang deficiency patients with regard to physical health of each to survive the worst; in the quality of life in mental health, the Yin Deficiency ideal yang type, followed by the yin and yang type worst, kidney-bone law of development of disease pathogenesis, but the yin deficiency type than yang and mental health ideal may yang type in patients with spleen and kidney yang pathogenesis characteristics, the above rules to check against the treatment of Chinese medicine early intervention provides a basis to improve the quality of life in patients.4.5The worst quality of life in patients with dialysis age greater than72months with regard to physical health, dialysis age36to72months and patients with less than36months of the worst; quality of life in mental health dialysis aged36to72months in patients with the best, followed by less than36months, the worst of greater than72months.