[目的]探讨三水地区成人上尿路结石患者结石成分、中医体质和中医证型，为结石防治提供新的依据。[方法]选取2010年6月至2013年6月期间在佛山市三水区人民医院门诊及住院治疗，经检查确诊为上尿路结石患者728例，进行结石成分分析，并对入选患者进行中医证型、体质量表调查和统计学分析。[结果]本研究结石成分分析中混合成分659例占90.52%，含草酸钙626例占85.99%，磷酸钙503例占69.09%，磷酸镁铵42例占5.77%，尿酸35例占4.81%，胱氨酸9例占1.24%。中医体质构成比方面，单纯体质中的阳虚质127例占17.45%，阴虚质86例占11.81%，痰湿质91例占12.50%，复合体质中兼阴虚质237例占54.61%、痰湿质256例占58.97%。中医证型方面，湿热下注证和气滞血瘀证是单一成分结石患者最主要的中医证型。随访追踪661例患者343例复发，复发患者中单纯体质中的阳虚质64例占18.66%，阴虚质51例占14.87%，痰湿质38例占11.08%；复合体质中兼阴虚质135例占39.36%、痰湿质157例占45.77%。[结论]三水地区成人上尿路结石患者阴虚质及痰湿质体质人群中表现为湿热下注证、气滞血瘀证是结石防治的重点人群。%Objective] To explore the adult patients with upper urinary stone on Stone components, TCM constitutions and TCM syndrome in Sanshui town and its stones' prevention strategies. [Methods] From June 2010 to June 2013, 728 cases of the adult patients were diagnosed upper urinary tract stones in Foshan Sanshui District People's Hospital outpatient and inpatient treatment. Stones composition were analyzed in these patients. TCM type and TCM constitution scale survey were col ected and statistical analysis was made in the patients to explore their correlation. [Result] In this study, 659 cases were the mixed ingredients by stone composition analysis, accounted 90.52%, including 626 cases of calcium oxalate accounting for 85.99%, 503 cases of calcium phosphate accounting for 69.09%, 42 cases of magnesium ammonium phosphate accounting for 5.77%, 35 cases of uric acid accounting for 4.81%, 9 cases of cystine accounted for 1.24%. The constituent ratio of physical aspects of Chinese medicine, simple physical deficiency with Yang-deficiency constitution was 127 cases accounting for 17.45%, Yin-deficiency constitution was 86 cases accounting for 11.81%and phlegm-dampness constitution was 91 cases accounting for 12.5%. Composite body with Yin-deficiency constitution in the quality was 537 cases accounting for 73.76%, with phlegm-dampness constitution in the quality was 586 cases accounting for 80.49%. 343 cases patients relapsed in the fol ow-up track in 661 cases, simply physical deficiency in relapsed patients with Yang-deficiency constitution was 64 cases, accounting for 18.66%, Yin-deficiency constitution was 51 cases, accounting for 14.87%, Phlegm-dampness constitution was 38 cases, accounting for 11.08%. The composite body with Yin-deficiency constitution was 226 cases, accounting for 65.89%, phlegm-dampness constitution 297 cases, accounting for 86.59%. The damp and blood stasis in the single component stones were the main syndromes of TCM syndrome, the proportions were:186/331(56.19%), 116/286(40.56%). [Conclusion] The focus groups of prevention and treatment stones were with Yin-deficiency constitution and phlegm-dampness constitution of who expressed the hot-and-damp downward type and syndrome of qi stagnation and blood stasis of the adult upper urinary tract stones in Sanshui district.
展开▼
