世界中医药

作者	单位
崔远武1 李强1 张连城2 顾耘3 汪振宇4 李柱5 吴迪6 崔俊波7 张玉莲2	1 天津中医药大学，天津，300193； 2 天津中医药大学第二附属医院，天津，300150； 3 上海中医药大学附属龙华医院，上海，200000； 4 辽宁省营口市中医院，营口，115000； 5 河南省开封市中医院，开封，475000； 6 天津市环湖医院，天津，300060； 7 天津市武清中医院，天津，301700

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中文摘要:

目的：探讨肾虚型老年性痴呆中医证候的特征。方法：收集天津、上海、辽宁营口、河南开封四个地区7家三级医院的570例肾虚型老年性痴呆患者的中医证候信息，建立中医证候数据库，对肾虚型老年性痴呆中医四诊信息、脉象、舌象进行描述统计，删除指标构成比<10%的变量。分析其临床流行病学特点、证型、证候要素、主要的症状及舌脉的分布。结果：肾虚型老年性痴呆的病因病机主要为年老体衰、情志失调；证候要素出现频率由高到低依次为精亏、阳虚、阴虚、瘀、气虚、血虚、气滞、内火、内风；肾虚型老年性痴呆以肾精亏虚为最多，其次为肾阳虚、肾阴虚、阴阳两虚，兼夹证型主要是气滞血瘀、心脾两虚、痰浊阻窍、肝郁气滞、心肝火旺。结论：肾虚型老年性痴呆证候特点是除肾虚外，同时兼夹痰、瘀、火等致病要素，反应了老年性痴呆作为慢性老年性退化性疾病本虚标实的病机特点。

English Summary:

To explore the characteristics of kidney deficiency type of senile dementia syndromes. Methods： The information of 570 patients with kidney deficiency type of senile dementia syndromes treated in seven tertiary hospitals in Tianjin，Shanghai，Liaoning Yingkou，Henan Kaifeng were collected. The database was established to gain information including syndromes，the kidney type of senile dementia TCM four diagnostic information，pulse condition，tongue like description statistics，and indicators less than 10% of the variables were deleted. The epidemiological characteristics，clinical type，syndrome elements，the main symptoms and the distribution of lingual arteries and veins were analyzed. Results： The etiology and pathogenesis of dementia was mainly for the elderly，modern disorders. Syndrome factors in the order of frequency from high to low were essence depletion，Yang deficiency，Yin deficiency，blood stasis，qi deficiency，blood deficiency，and qi stagnation，inner fire，endogenous wind. Kidney deficiency type of senile dementia mainly manifested kidney essence deficiency，followed by kidney Yang deficiency，kidney Yin deficiency，and both yin and yang deficiency of kidney，complicated with qi and blood stasis，heart and spleen deficiency，phlegm turbidity resistance，liver depression and qi stagnation，heart and liver fire. Conclusion： The characteristics of kidney deficiency type of senile dementia syndrome is that except from the kidney deficiency，it is complicated with phlegm，blood stasis，pathogenic factors，which proves that the virtual pathogenesis of chronic senile degenerative disease is root vacuity and tip repletion .

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