糖尿病肾病中医证候分布规律的文献研究

摘要

目的 对糖尿病肾病有关辨证分型近10年的文献进行研究,了解糖尿病肾病中医证候分布规律.方法 检索中国期刊文献数据库CNKI(2003年1月1日至2012年6月30日)获得目标文献,对文献进行整理分析.结果 符合要求的文献共19篇,涉及证型39种,总病例数5197例,经归纳后得出证型27种,分布较多的是气阴两虚证(29.36%),血瘀证(13.10%),脾肾气(阳)虚(11.14%),阴阳两虚(7.43%).结论 气阴两虚证、脾肾气虚证、脾肾阳虚证、阴阳两虚证基本代表了糖尿病肾病本虚的主要临床特征,血瘀证是诸多标实证候中最重要的证候.%Objective Research the literalures in the past 10 years about diabelic nephropathy (DN) Lo discover the distribulion regules on syndrome of diabelic nephropathy. Methods The literatures were retrieved in the China Journal Full-text Database(2003. 01. 01 ~2012. 06. 30) , then sort out and analyze the literatures. Results 19 of them are meet the requirements , and DN syndromes were up lo 39 kinds of types,involving 5197 cases . By summering, the syndromes were 27 kinds of types. The top four TCM syndromes were; qi-yin deficiency type(29. 36% ) , blood slasis lype( 13. 10% ) , spleen-kidney qi-yang deficiency type(11. 14% ) and yin-yang deficiency type (7.43% ). Conclusions Qi-yin deficiency type, spleen-kidney qi deficiency type, spleen-kidney yang deficiency lype and yin-yang deficiency type basically represent the clinical characteristics of deficiency in origin, and blood stasis is the most important one in all the excess in superficialit syndromes.