| 张史昭,徐琳,朱彩凤,王永钧.肾疾病时尿渗透压与虚实证型的相关性研究——附428例临床资料分析[J].,1990,(5):286-288,260 |
| 肾疾病时尿渗透压与虚实证型的相关性研究——附428例临床资料分析 |
| A Correlative Study for Urine Osmotic Pressure and Deficiency-Excess Syndrome of Renal Disease:Analysis of 428 Cases |
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| DOI： |
| 中文关键词: 尿渗透压 尿血渗比 肾小管—小球功能 肾气衰惫 夜尿增多 |
| 英文关键词: |
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| 中文摘要: |
| 本文对428例肾疾病患者进行了尿渗透压(尿渗)、尿血渗比(渗比)的检测及分析;认为:尿渗及渗比不仅是诊断肾小管一间质疾病的敏感指标,亦是原发性肾小球疾病发生肾功能不全时的早期特征性改变,而且还与中医的虚实辨证密切相关,可以为肾气衰惫、摄纳无权、下元不固、夜尿增多提供定量的客观指标。 |
| 英文摘要: |
| By means of TCM differentiation of symptom-complexes,the authors tested and analysed the urine osmotic pressure(UOP)and the urine and plasma osmotic ratio(UPOR)for 428 cases of renal disease,with the conclusion that the UOP and the UPOR were within the normal value range for not only the 36 cases lack of clinical symptoms so as to be unable to have TCM classification identified, but also for 24 cases of Wind edema excess syndrome mainly caused by pathogenic Wind’s invasion to the Lung.But for 74 cases of damp-heat Kidney impairment and 294 cases with the main symptom being Kidney deficiency[including weakness of Qi(气)of Kidney,Yang(阳)deficiency of Spleen and Kidney,Yin(阴)deficiency of Liver and Kidney],the value of their UOP and the UPOR had the tendency of reduction(P<0.01),among which the value of the patients of Kidney Yang deficiency reduced most obviously. The further observation showed that,for the nocturia patients caused by renal disease,the value of UOP and the UPOR reduced more obviously than usual.Therefore the authors assert that the test on UOP and UPOR will offer an objective index to patients’ nocturia and Kidney-Qi weakness. 60 cases with renal disease of Kidney deficiency syndrome and 27 cases of damp-heat Kidney impairment syndrome under the diagnosis and treatment based on an overall analysis of symptoms and signs leads to the following conclusion:With the elimination of pathogenic factors and recovery of kidney,the damp-heat Kidney impairment Patients’ UOP will be increased.The low UOP of patients caused simply by Kidney deficiency,however,will recover slower. |
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