摘要
目的:探讨糖尿病肾脏病(DKD)早、中、晚期各热邪类型的分布及临床诊断指标,初步建立糖尿病肾脏病"热邪"证候的辩证规范。方法:采用德尔菲法,编制《糖尿病肾脏病"热邪"证候专家调查表》,对全国不同地区31位专家的意见进行汇总、统计、分析,调查内容主要包括DKD各期的热邪类型、各热型的诊断指标及病位等。结果:最终确立DKD早期的热邪类型为湿热证、阴虚内热证、郁热证、燥热证,中期为湿热证、瘀热证、痰热证、郁热证,晚期为浊热证、瘀热证、痰热证、郁热证、结热证。并分别对各热邪类型的临床诊断指标和病位进行了分析。结论:初步建立了DKD热邪证候辨证的专家共识,对提高辨证规范,进一步开展临床研究,提高临床诊疗水平具有积极意义。
Objective： To discuss the pattern types and clinical indicators of heat syndrome of DKD,and establish the standard of syndrome differentiation of heat syndrome. Methods：Delphi method was employed and expert investigation questionnaires about heat syndromes of DKD were sent to 31 experts in different regions. pattern types,clinical indicators and location of the heat syndrome were included in the questionnaire. Results：Heat syndrome of DKD in the early stages were dampness heat syndrome,internal heat due to yin deficiency syndrome,heat accumulation syndrome,dryness-heat syndrome. In middle stages were damp-heat syndrome,blood stasis-heat syndrome,phlegm-heat syndrome,heat accumulation syndrome. And in the advanced stages were dirt heat syndrome,blood stasis-heat syndrome,phlegm-heat syndrome,heat accumulation syndrome,heat twisting syndrome. And Clinical indicators and locations of heat syndrome were also analyzed. Conclusion： The standard of syndrome differentiation of heat syndrome was established and will further have a positive effect in regulating syndrome differentiation and clinical diagnosis and treatment.
作者
王梦迪
王珍
闫润泽
周静威
刘娜
刘玉宁
王耀献
WANG Mengdi;WANG Zhen;YAN Runze et al(Beijing University of Chinese Medicine ,Beijin （ 100029)
出处
《中国中西医结合肾病杂志》
2017年第11期953-956,共4页
Chinese Journal of Integrated Traditional and Western Nephrology
基金
首都卫生发展科研专项项目(No.2016-1-4192)
国家中医药管理局国家中医临床研究基地业务建设科研专项项目(No.JDZX2015307)
关键词
德尔菲法
糖尿病肾脏病
热邪证候
Delphi method Diabetic kidney disease Heat syndrome
