ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (2): 144-.

• 临床研究 • 上一篇    下一篇

出生时五运六气与肾病综合征患儿病理类型的关系

曾维嘉，陈乃清，温晓莹，张丽娇   

  1. 510120 广州，广州中医药大学第二附属医院儿科/罗笑容名医工作室
  • 出版日期:2021-04-25 发布日期:2021-05-18
  • 通讯作者: 陈乃清，E-mail：chennaiqing2010@163.com
  • 作者简介:曾维嘉（1987-），男，医学硕士，主治医师。研究方向：中医内科疾病的诊治

Study on the correlation of Five-Yun-Six-Qi at birth with pathological types of children with nephrotic syndrome

ZENG Weijia，CHEN Naiqing，WEN Xiaoying，ZHANG Lijiao   

  1. The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine，Guangzhou 510120，China
  • Online:2021-04-25 Published:2021-05-18

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摘要： 目的:对比局灶节段性肾小球硬化(FSGS)和微小病变病理类型患儿出生日期的五运六气属性，探讨五运六气影响下的先天禀赋与病理类型的内在关联和差异，为临床判断预后及推测病理类型提供理论参考。
方法:收集2005年1月1日至2019年12月31日广东省中医院儿科收治的住院病例中肾脏穿刺病理结果为FSGS和微小病变的患者54例，其中FSGS 18例，微小病变36例。采集患者完整的出生年月日信息，分析、对比两组五运六气属性。
结果:两组患儿在岁运的火运，客运的水运两个方面分布比较中，组间分布差异有统计学意义（P<0.05）。岁运的火运比较时，FSGS组倾向于火运不及，而微小病变组倾向于火运太过；客运方面，FSGS组倾向于水运太过，而微小病变组倾向于水运不及。
结论:若存在火运不及，水运太过，需注意FSGS可能，也提示可能有着不良的预后。

关键词: 局灶节段性肾小球硬化, 微小病变, 五运六气, 肾脏病理, 出生日期

Abstract: Objective:To compare the natures of Five-Yun-Liu-Qi of the birth dates of children with focal segmental glomerulosclerosis(FSGS) with those of children with minimal change disease(MCD), and to explore the internal relationship and differences between the natural endowment and pathological types under the influence of Five-Yun-Six-Qi, so as to provide theoretical reference for clinical judgment of prognosis and prediction of pathological types.
Methods:A total of 54 patients with focal segmental glomerulosclerosis(n=18,FSGS group) or minimal change disease(n=36,MCD group) were selected from the pediatric inpatients, who were confirmed by renal puncture in Guangdong Provincial Hospital of Traditional Chinese Medicine from 2005 to 2019. The complete information of birth date of the patients was collected, and the natures of Five-Yun-Six-Qi were analyzed and compared between the two groups.
Results:There were significant differences between the two groups in the distribution of the Fire-Yun of Sui-Yun and the Water-Yun of Ke-Yun between the two groups(P<0.05).In the comparison of the Fire-Yun of Sui-Yun, the FSGS group tended to be in deficiency of Fire-Yun, while the MCD group tended to be in excess of Fire-Yun. As for Ke-Yun, FSGS group tended to be excessive in Water-Yun, while MCD group tended to have deficiency in Water-Yun.
Conclusion:FSGS should be considered if there is deficiency in Fire-Yun and excess in Water-Yun, which also suggests that the prognosis may be poor.

Key words: FSGS, MCD, Five-Yun-Six-Qi Renal pathology, Date of birth