单中心440例维持性血透患者中医证候分布规律及相关性因素分析.docx

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摘要
目的：分析单中心440例维持性血透患者中医证候分布规律及相关性因素。
方法：回顾性分析单中心440例维持性血透患者的临床资料，包括一般情况、病史、中医证候、实验室检查结果等。采用统计学方法分析中医证候的分布规律及其与临床资料及实验室检查结果的相关性。
结果：440例维持性血透患者中，肾亏证和瘀滞证最为常见，%%。男性患者中，阴虚证、气郁证、湿热证和血瘀证的发病率明显高于女性；年龄大于60岁的患者中，肾亏证和湿热证的发病率明显高于年龄小于60岁的患者。此外，中医证候还与患者的病史、肾功能、血常规等指标有相关性。
结论：维持性血透患者中，肾亏证和瘀滞证最为常见。不同性别和年龄组成员中，中医证候的发病率存在差异。中医证候与患者的病史、肾功能、血常规等指标有相关性。这些研究结果有助于进一步了解维持性血透患者的中医证候规律，为个体化中医药干预提供指导。
关键词：维持性血透患者；中医证候；相关性
Abstract
Objective: To analyze the distribution of traditional Chinese medicine (TCM) syndrome and related factors in 440 patients undergoing maintenance hemodialysis in a single center.
Methods: A retrospective analysis of the clinical data of 440 patients undergoing maintenance hemodialysis in a single center, including general information, medical history, TCM syndrome, and laboratory examination results. Statistical methods were used to analyze the distribution of TCM syndrome and its correlation with clinical data and laboratory examination results.
Results: Among the 440 patients undergoing maintenance hemodialysis, kidney deficiency syndrome and blood stasis syndrome were the most common, accounting for % and %, respectively. In male patients, the incidence of yin deficiency syndrome, qi stagnation syndrome, damp-heat syndrome, and blood stasis syndrome was significantly higher than that in female patients. In patients older than 60 years old, the incidence of kidney deficiency syndrome and damp-heat syndrome was significantly higher than that in patients younger than 60 years old. In addition, TCM syndrome was also correlated with patients' medical history, renal function, and blood routine indicators.
Conclusion: In patients undergoing maintenance hemodialysis, kidney deficiency syndrome and blood stasis syndrome are the most common. The incidence of TCM syndrome varies among different genders and age groups. TCM syndrome is correlated with patients' medical history, renal function, blood routine indicators, and other factors. These results help to further understand the TCM syndrome in patients undergoing maintenance hemodialysis and provide guidance for individualized TCM intervention.
Keywords: patients undergoing maintenance hemodialysis; traditional Chinese medicine syndrome; correlation