摘要
目的:研究IgA肾病湿热证与临床病理的相关因素分析。方法:分析53例IgA肾病湿热证与53例非湿热证患者的临床及肾脏病理资料。结果:IgA肾病湿热证的中医宏观辨证中最常见的症候是咽喉肿痛,其次是小便黄赤、灼热或涩痛不利;临床伴肉眼血尿,有感染诱因者比非湿热证组多见,表现为肾病综合征比非湿热证组少;血C反应蛋白水平显著高于非湿热证组;肾小球细胞增殖积分显著高于非湿热证组。结论:IgA肾病湿热证与临床指标及肾组织病理有一定相关性,中医宏观辨证与西医微观辨证的结合将更有利于揭示IgA肾病湿热证的本质,为证的客观化研究提供一定依据。
Objective： To observe the relationship between damp - heat syndrome and clinical pathology in patients with IgA nephropathy （ IgAN ）. Methods ： We collect the clinicopathological materials of 53 patients with damp - heat syndrome, and 53 patients with non damp - heat syndrome. Result： In patients with damp - heat syndrome, swelling and aching of throat was the symptom most commonly seen;often accompanied with gross hematuria and had more inducement of infection, few with nephrotic syndrome. Compared with patients of non damp - heat syndrome, plasma levels of creactive protein（ CRY）, was obviously higher, and scores of glomerular cell multiplication significantly higher. Conclusion ： Damp - heat syndrome of IgAN are correlated with certain clinical parameters and renal pathological changes. The combination of TCM hnlistic syndrome differentiation and Western medicinal micro - differentiation is more favorable for making clear the nature of damp - heat syndrome of IgAN. It may provide some guidances for the objectivise of ＂syndrome＂.
出处
《中华中医药学刊》
CAS
2008年第1期178-180,共3页
Chinese Archives of Traditional Chinese Medicine
关键词
IGA肾病
湿热证
中医辨证
IgA nephropathy
damp- heat syndrome
syndrome diferentiation of TCM
