肾性血尿中医临床辨证标准研究及诊断流程

Study on Differentiation Standard of TCM and its Diagnostic Process in Renal Hematuria

关键词:  肾性血尿  辨证标准  诊断流程

Key words:  renal hematuria  differentiation standard  diagnosis process

摘要:

[目的]血尿是泌尿系统疾病的常见症状,减轻和控制血尿对阻断病程进展,改善患者预后均具有重要意义。[方法]通过对221例慢性肾炎血尿患者根据中医临床辨证,参考有关实验室指标,进行定性与定位诊断。[结果]认为针对以"血尿"而就诊的患者,临床进行辨证(诊断)施治分为外感风热、湿热壅盛、阴虚内热、瘀血阻络型。[结论]血尿需要经过以临床中医证候(定性)与以实验室指标(定位)相结合,才能较规范化的完成诊断过程。

Abstract:

[Objevtive] Hematuria is a common symptom of urinary system diseases. Controlling and alleviating play a pivotal role to arrest the development of disease and improve the prognosis. [Methods] The qualitative and localized diagnosis were carried out in 221 cases with hematuria caused by chronic nephritis according to the clinical differentiation in TCM,consulting with the relative laboratory indexes. [Result] It is considered that in those patients, whose main complaints were hematuria,treatment with syndrome differentiationdiagnosis. [Conclusion] Combined with understanding the clinical syndromes(qualitative)and laboratory indexes(orientation)is necessary so as the diagnostic process could be completed in normal way.