摘要
目的:分析慢性肾脏病患者急诊留观的因素以及中医证候,为今后处理相关并发症,以及提高中医参与率提供依据。方法:采用回顾性分析的方法,收集2011年1月至2011年12月急诊留观的慢性肾脏病患者的临床和试验室资料,并用SPSS17.0进行相关统计。结果:2011年急诊留观病人959人,慢性肾脏病患者96人,平均年龄73.05±13.24岁,60岁以上者占87.5%,原发病中糖尿病肾病最多,占37.4%,并且全部处于CKD3～5期;就诊的主要病因分别是肺部感染、急性左心衰和脑血管疾病,其中脑出血的死亡率最高。中医证型分为风动、血瘀、热毒、水气、湿热、湿浊6型,其中以风动证的SAPSⅡ评分最高。结论:糖尿病、高血压、高龄以及肺部感染是CKD患者急诊留观的重要因素,积极有效的控制血糖、血压,预防感染是减少CKD患者急危重症的关键。关注中医证候为风动患者的病情变化,防止发生危重证候。
Objective： TO analyse factors and syndrome types of traditional Chinese Medicine of the patients with chronic kidney disease in emergency observation. Method： Using retrospective analysis , we collected the clinical and laboratory data of emergency observation of chronic kidney disease patients from 2011 January -2011 December, and SPSS17.0related statistics. Results： In 2011 ,there were 959 patients in emergency observation, including 96 patients with CKD. The average age was 73.05± 13.24 years,60 years old of above person accounted for 87.5% , the incidence of diabetic nephropathy in most, occupy 37.4% , and all in the CKD3 -5; the main causes are the treatment of pulmonary infection, acute left heart failure and cerebral vascular disease, one of the highest mortality of cerebral hemorrhage. The syndrome types of traditional Chinese medicine were divided into ＂ Feng-dong＂, ＂ Xue-yu＂, ＂ Re-du＂, ＂ Shi-re＂, ＂ Shi- zhuo＂ ,＂ Shui-qi＂ ,the SAPS II score of ＂Feng-dong＂was the highest. Conclusion： Diabetes, hypertension, and pulmonary infection in elderly CKD patients in emergency observation are important factors, positive and effective control of blood glucose, blood pressure, prevention of infection is reduced rates of death of patients with CKD critical and we should pay attention to the patients with ＂Feng-dong＂.
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2013年第3期303-305,共3页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
CKD患者
急诊留观
中医证候
the patients with CKD
the factors of emergency observation
syndrome types of traditional ChineseMedicine
