Studing The Relationship Between Nutrition Status And Chinese Medicine Syndrome-type Of Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

Object iveTo observe the symptom-sign of CAPD and research the relationship bet ween the nutrition status and the Chinese medicine syndrome-type of perit oneal dialysis patients.To provide basis for Chinese Medicine.MethodsThis study adopts the method of cross-sectional survey, collect 113 p atients included in the standard. Ask the patient’s general information (g ender, age, age of dialysis, etc.), and measure their body, and collect t he laboratory examination of patients. To make nutritional assessment for patients, at the same time, collecting the patients symptom scoreswith th e designed information-collecting table. The data were statistically analy zed by spass 17.0 software.Results:1.The age, age of dialysis of malnutrition patients undergoing mainten ance peritoneal dialysis are greater than patients with normal nutrition while AMC, HGB and ALB are lower. And they have inadequate dialysis.They al 1 have remarked differences(P<0.05). There is no statistical difference in gender, BMI contrast(P>0.05).2. In cases with deficiency syndrome undertaking peritoneal dialysis, w eakness(72.6%), lack of words and being discouraged(66.3%), anorexia(78.8%), oreness of loins and knees(66.3%), dry mouth and throat(77.0%) were the mo st common deficiency syndromes. In cases with sthenic syndrome, dimcomplexi on (77.0%), nausea(50.4%), squamous and dry skin(53.1%) were the most common sthenic syndromes. Lake light tongue, light fat tongue, thin-white fur,whit e-freasy fur, slippery-stringy pulse, deep-thready pulse were the most comm on tongue and puse manifestation.3.113 patients of syndrome types mainly are factors.Spleen and kidney Yang Deficiency (33 cases,29.2%)is the most common deficiency syndrome, followed by Spleen and Kidney Deficiency (26 cases,23.0%) and Chi-Yin D eficiency(24 cases,21.2%).The Dampness Turbidity(40 cases,35.4%) and Bl ood Stasis(33 cases,29.2%) are the most common excess syndrome.4.In nutrition group, Spleen and Kidney Deficiency(14 cases,35%) and Spleen Kidney Yang Deficiency(11 cases,27.5%) are the most common defic iency syndrome. In malnutrition group, Spleen and Kidney Yang Deficiency(22 cases,30.1%) and Chi-Yin Deficiency(20 cases,27.4%) are the most commo n deficiency syndrome. There is significant differencebetween the two grou ps of Spleen and Kidney Deficiency, Qi-Yin Deficiency (P<0.05).5. In nutrition group, Dampnes(16 cases,40.0%) is the most common exce ss syndrome. In malnutrition group, Blood Stasis (26 cases,35.6%) is the most common excess syndrome. Blood stasis syndrome have significant differ ence between the two groups (P<0.05).6. The age of Spleen and Kidney Deficiency is greater than Qi-Yin Defi ciency and Yin-Yang Deficiency (P<0.05)。 In AMC comparison of the two grou ps, Qi-Yin Deficiency, Yin-Yang Deficiency, Blood Stasis have significant difference (P<0.05). The HGB of Qi-Yin Deficiency is lower than Spleen an d Kidney Deficiency, while Fengdong is lower than Pneumatic and Dampness (P<0.05). The ALB of Qi-Yin Deficiency and Yin-Yang Deficiency are lower t han Spleen and Kidney Deficiency, the Kt/V of Yin-Yang Deficiency are low er than Spleen and Kidney Deficiency, while Blood Stasis is lower than Tox ic heat (K0.05). In the contrast of age, sex, BMI, BUN, Scr and TCcr, the re are no statistical difference (P>0.05). Conslusion:1.When the age, the age of dialysis of the maintenance peritoneal dia lysis patients are greater, the AMC, HGB, ALB is lower, more inadequate di alysis, it is easier to have poor nutrition.2.The chinese medicine pathogenesis of patients undertaking peritonea 1 dialysis is mainly factors. In nutrition group, Spleen and Kidney Defici ency and Spleen Kidney Yang Deficiency are the most common deficiency syn drome, while the most common excess syndrome is Dampness. In malnutrition group, Spleen and Kidney Yang Deficiency and Chi-Yin Deficiency are the mo st common deficiency syndrome, while the most common excess syndrome is B lood Stasis.3. There is a correlation between the chinese medicine sundrome-type a nd the age of dialysis, AMC, HGB, ALB of patients undertaking peritoneal dialysis. When the age of dialysis is growing, Spleen and Kidney Deficienc y and Spleen Kidney Yang Deficiency will change to Chi-Yin Deficiency and Yin-Yang Deficiency, Dampness and Blood Stasis are more, AMC, HGB and ALB a re lower, dialysis adequacy is worse, the nutritional status is much poore r.