小儿孤立性血尿的肾脏病理及中医辨证分析
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- 论文作者：刘萍
- 年：2016
- 作者机构：陕西乾县中医医院;
- 论文关键词：孤立性血尿 ; 肾脏病理 ; 中医辨证
- 英文论文关键词：isolated hematuria ; renal pathology ; TCM syndrome differentiation
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R272
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：1
- 文件大小：2013k
- 原文格式：D
- 会议级别：全国
摘要
目的:探究儿童孤立性血尿综合征型中西医结合肾脏病理类型的相关性。方法:按照单纯性血尿诊断标准和肾活检指征,选择54例患儿全部肾活检病理改变,包括光镜、免疫荧光和电子显微镜检查,患者在肾损伤后3天内的中医证型,并采用统计学方法分析中医证型与肾病理类型的关系。结果:(1)孤立性血尿患儿西医肾脏病理类型以系膜增生性肾小球肾炎(Ms PNG)(32%)较多见,IGA肾病(Ig AN)(20%)次之,局灶节段性肾小球肾炎(FGN)(13%)再次之。(2)孤立性的血尿患儿中医证型以风热犯肺(30%)较多,肝肾阴虚(22%)次之,阴虚火旺(20%)再次之。(3)根据X2的检验,肾性血尿患儿中医证型与西医肾脏病理类型之间没有较为明显的相关性。结论:孤立性血尿患儿中医证型与肾脏病理类型无明显的相关性。
Objective: To explore the correlation between the types of renal pathology in children with isolated hematuria syndrome type of traditional Chinese and Western medicine. Methods: according to the Simple Hematuria diagnosis standard and renal biopsy indications, choosing 54 cases of all the renal biopsy pathological change, including light microscope, immunofluorescence andelectron microscopy, the patient within 3 days after renal injury of TCM syndrome type, and statistical method was used to analyze the relationship between TCM syndrome type and renal pathologicaltypes. Results:(1) isolated hematuria in children with western medicine kidney pathological types in mesangial proliferative glomerulonephritis Ms PNG(32%) more see, Ig A nephropathy(Ig AN)(20%) times, focal segmental glomerulonephritis(FGN)(13%) again.(2) isolated hematuria in children with TCM syndrome type to wind heat make more lung(30%), yin deficiency of liver and kidney(22%) times, and Yin Huo Wang(20%) again.(3) according to the X2 test, there was no significant correlation between the TCM syndrome types of renal hematuria patients and the pathological types of Westernmedicine. Conclusion: there was no significant correlation between TCM Syndrome Types and pathological types of renal pathology in children with isolated hematuria.
Objective: To explore the correlation between the types of renal pathology in children with isolated hematuria syndrome type of traditional Chinese and Western medicine. Methods: according to the Simple Hematuria diagnosis standard and renal biopsy indications, choosing 54 cases of all the renal biopsy pathological change, including light microscope, immunofluorescence andelectron microscopy, the patient within 3 days after renal injury of TCM syndrome type, and statistical method was used to analyze the relationship between TCM syndrome type and renal pathologicaltypes. Results:(1) isolated hematuria in children with western medicine kidney pathological types in mesangial proliferative glomerulonephritis Ms PNG(32%) more see, Ig A nephropathy(Ig AN)(20%) times, focal segmental glomerulonephritis(FGN)(13%) again.(2) isolated hematuria in children with TCM syndrome type to wind heat make more lung(30%), yin deficiency of liver and kidney(22%) times, and Yin Huo Wang(20%) again.(3) according to the X2 test, there was no significant correlation between the TCM syndrome types of renal hematuria patients and the pathological types of Westernmedicine. Conclusion: there was no significant correlation between TCM Syndrome Types and pathological types of renal pathology in children with isolated hematuria.
引文
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[5]王莉珍.叶锦华治疗肾性血尿的经验[J].辽宁中医杂志,1997,24(4):153-154.
[6]张益民,徐秋建.顾连方教授中西医结合治疗血尿的经验.中国中西医结合肾病杂志,2001,2(5):25.
[2]吴红梅,赵三龙,黄松明,等.儿童孤立性血尿临床病理分析[J].中华肾脏病杂志.2012,28:643-644.
[3]陈晓英,蔡明辉,林洪周,等.儿童孤立性血尿的临床病理分析[J].中华肾脏病杂志.2010,26:758-761.
[4]王耀光.肾性血尿的中医辨证治疗及中西医结合治疗体会[J].中医药学报,2007,35(1):28.
[5]王莉珍.叶锦华治疗肾性血尿的经验[J].辽宁中医杂志,1997,24(4):153-154.
[6]张益民,徐秋建.顾连方教授中西医结合治疗血尿的经验.中国中西医结合肾病杂志,2001,2(5):25.