血液透析患者中醫辨證分型與血清生化值之研究

Studies on the Classical Differential Diagnosis of Traditional Chinese Medicine and Biochemical Parameters in Hemodialysis Patients

陳嘉聖(Chia-Sheng Chen) ； 陳光偉(Guang-Wei Chen) ； 林昭庚(Jao-Kung Lin) ； 彭文煌(Wen-Huang Peng) ； 謝明村(Ming-Tsuen Hsieh)

《中醫藥雜誌》 18卷3&4期 (2007/12) Pp. 169-178

https://doi.org/10.6940/JCM.200712_18(3_4).06

摘要

The syndrome types of Traditional Chinese Medicine (TCM) in hemodialysis (HD) patients are divided into Chi deficiency of Spleen and Kidney (CDSK), Yang deficiency of Spleen and Kidney (YDSK), Yin deficiency of Liver and Kidney (YDLK), deficiencies of Chi and Yin (DCY), deficiencies of Yin and Yang (DYY), and Non-deficiency (ND). The aim of the present study is to investigate the six syndrome types of TCM in HD patients and the etiology of uremia, the condition of dementia, and the changes in the serum biochemical parameters. The result showed that both YDSK and DYY types of HD patients were elder, longer dialysis times and lower Mini-Mental Status Examination (MMSE) score than the other types of HD patients. The levels of albumin and creatinine in YDSK and DYY types of HD patients were significantly lower compared to the other types of HD patients. The other serum biochemical parameters were not significantly different among the six syndrome types of HD patients. The lower serum creatinine and albumin levels suggested that YDSK and DYY types of HD patients were malnutritioned. Therefore, we concluded that the YDSK and DYY types of HD patients were elder and had received longer dialysis times. They also appeared to have intelligent impairment and malnutrition. These results could be used as references of diagnosis and treatment by the TCM physicians in clinic.

關鍵字

中醫辨證分型 ； 尿毒症 ； 血液透析 ； 智能障礙 ； 血清生化值

並列摘要

The syndrome types of Traditional Chinese Medicine (TCM) in hemodialysis (HD) patients are divided into Chi deficiency of Spleen and Kidney (CDSK), Yang deficiency of Spleen and Kidney (YDSK), Yin deficiency of Liver and Kidney (YDLK), deficiencies of Chi and Yin (DCY), deficiencies of Yin and Yang (DYY), and Non-deficiency (ND). The aim of the present study is to investigate the six syndrome types of TCM in HD patients and the etiology of uremia, the condition of dementia, and the changes in the serum biochemical parameters. The result showed that both YDSK and DYY types of HD patients were elder, longer dialysis times and lower Mini-Mental Status Examination (MMSE) score than the other types of HD patients. The levels of albumin and creatinine in YDSK and DYY types of HD patients were significantly lower compared to the other types of HD patients. The other serum biochemical parameters were not significantly different among the six syndrome types of HD patients. The lower serum creatinine and albumin levels suggested that YDSK and DYY types of HD patients were malnutritioned. Therefore, we concluded that the YDSK and DYY types of HD patients were elder and had received longer dialysis times. They also appeared to have intelligent impairment and malnutrition. These results could be used as references of diagnosis and treatment by the TCM physicians in clinic.

並列關鍵字

Classical differential diagnosis of Traditional Chinese Medicine TCM ； uremia ； hemodialysis ； intelligent impairment ； Serum biochemical parameters