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目的 研究肾移植术后中医证候分布规律,并探索临床分型与实验室指标的相关性.方法 自制问卷调查收集450例肾移植术后的中医证候及实验室指标相关资料,应用聚类分析、单因素方差分析、Pearson x2检验等统计方法,对肾移植术后患者的症状及相关实验室检验结果进行分析,以期对其客观分型,并找出临床分型与实验室指标相关性.结果 肾移植术后1周中医证型有脾肾阳虚、肝肾阴虚、脾肾气虚、气阴两虚,兼证有外感、血瘀、湿热、湿浊.与气阴两虚证比较,脾肾阳虚、肝肾阴虚、脾肾气虚证白细胞计数及Na+浓度降低,PLT计数升高(P＜0.05);与脾肾阳虚证比较,肝肾阴虚、脾肾气虚、气阴两虚证尿WBC计数降低(P＜0.05);与肝肾阴虚证比较,脾肾阳虚、脾肾气虚、气阴两虚证间接胆红素降低,脾肾阳虚、气阴两虚证血糖降低(P＜0.05).结论 中医证型与实验室指标有一定的关联性.“,”Objective To study the distribution laws of TCM syndrome types in renal transplant recipients,and to observe the correlation between clinical types and laboratory indicators.Methods Correlated data of TCM syndromes and laboratory indicators of 450 renal transplant recipients were collected by self-formulated questionnaire using cluster analysis,one-way ANOVA,Pearson x 2 test,and other statistical methods.Their symptoms after renal transplant and related laboratory results were analyzed and syndrome typed.The correlation between clinical types and laboratory indicators were observed.Results TCM syndrome types at week 1 after transplant included Pi-Shen yang deficiency syndrome,Gan-Shen yin deficiency syndrome,Pi-Shen qi deficiency syndrome,qi-yin deficiency syndrome,complicated with external cold,blood stasis,dampness-heat,damp turbidity types.Compared with qi-yin deficiency syndrome,white blood cell count and the concentration of Na + decreased,and platelet count increased in Pi-Shen yang deficiency syndrome,Gan-Shen yin deficiency syndrome,Pi-Shen qi deficiency syndrome (P ＜0.05).Compared with Pi-Shen yang deficiency syndrome,white blood cell in urine decreased in Gan-Shen yin deficiency syndrome,Pi-Shen qi deficiency syndrome,qi-yin deficiency syndrome (P ＜0.05).Compared with Gan-Shen yin deficiency syndrome,indirect bilirubin decreased in PiShen yang deficiency syndrome,Pi-Shen qi deficiency syndrome,qi-yin deficiency syndrome;blood glucose decreased in Pi-Shen yang deficiency syndrome and qi-yin deficiency syndrome (P ＜0.05).Conclusion TCM syndrome types and laboratory indicators had certain correlation.