1.北京中医药大学东直门医院肾病内分泌一区,北京 100700
2.无锡市龙砂医学流派研究院,无锡 214071
陈冉,女,26岁,硕士研究生。研究方向:中医治疗肾病、内分泌疾病。
于国泳,E-mail: 18901133535@163.com
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陈冉,顾植山,杨金月,等.先天运气禀赋与罹患糖尿病肾脏疾病的相关性研究[J].北京中医药,2023,42(11):1263-1269.
CHEN Ran,GU Zhi-shan,YANG Jin-yue,et al.Correlation study of congenital Yun Qi endowment and suffering from diabetic kidney disease[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(11):1263-1269.
陈冉,顾植山,杨金月,等.先天运气禀赋与罹患糖尿病肾脏疾病的相关性研究[J].北京中医药,2023,42(11):1263-1269. DOI: 10.16025/j.1674-1307.2023.11.022.
CHEN Ran,GU Zhi-shan,YANG Jin-yue,et al.Correlation study of congenital Yun Qi endowment and suffering from diabetic kidney disease[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(11):1263-1269. DOI: 10.16025/j.1674-1307.2023.11.022.
目的,2,探讨糖尿病肾脏疾病(DKD)患者出生时的先天运气禀赋特点。,方法,2,以2017年1月20日—2022年1月20日北京中医药大学东直门医院收治入院的1 698例2型DKD患者为病例组,以同期3 740例除外DKD的2型糖尿病合并其他并发症患者为对照组,用卡方检验分析DKD患者在出生时天干(岁运)、地支、司天之气、在泉之气、主气、客气时段的人数分布情况,用二分类逻辑回归研究出生时五运六气与后天罹患DKD的关系。,结果,2,罹患DKD与出生时的天干(岁运)、地支、司天、在泉之气存在关联。从天干(岁运)来看,出生于丙(木运太过)、辛(水运不及)年的2型糖尿病患者后天罹患DKD的风险分别增加1.551倍(,P,=0.004)和1.473倍(,P,=0.001);从地支来看,出生于卯年的2型糖尿病患者后天罹患DKD的风险增加1.496倍(,P,=0.005);从司天看,阳明燥金司天者,后天罹患DKD风险较高,与阳明燥金司天比较,出生在少阴君火司天的2型糖尿病患者后天罹患DKD的风险降低0.822倍(,P,=0.049);从在泉看,出生于少阴君火在泉的2型糖尿病患者后天罹患DKD的风险增加1.217倍(,P,=0.049)。,结论,2,先天运气禀赋为肾水亏虚、木强土弱、阴虚燥热的2型糖尿病患者易并发DKD。
Objective,2,To explore the characteristics of congenital Yun Qi endowment of diabetic kidney disease (DKD) patients when they were born.,Methods,2,A total of 1 698 patients with type 2 DKD admitted to Dongzhimen Hospital of Beijing University of Chinese Medicine from January 20, 2017 to January 20, 2022 were included into a case group, and 3 740 patients of type 2 diabetes with other complications into a control group. The distribution of the birth date of the patients with DKD in terms of the characteristics of Wu Yun and Six Qi was analyzed by Chi-square test, which involved the distribution of heavenly sterns (suiyun),earthly branches,sitian,zaiquan,zhuqi,keqi,and binary Logistic regression was used to study the relationship between the incidence of DKD and the incidence of Wu Yun and Six Qi of the birth time.,Results,2,The incidence of DKD was related to the heavenly sterns(suiyun),earthly branches,sitian,zaiquan attribute of the human being born at the time. From the perspective of heavenly sterns (suiyun), the risk of developing DKD increased by 1.551 times (,P,=0.004) and 1.473 times (,P,=0.001) in patients with type 2 diabetes born in Bing(wood excess) and Xin (water insufficiency). From the perspective of earthly branches,the risk of developing DKD increased by 1.496 times (,P,=0.005) in patients with type 2 diabetes born in the year of Mao. From the perspective of Sitian, compared with Yangming Zaojin sitian, the risk of developing DKD was reduced by 0.822 times (,P=,0.049) in patients with type 2 diabetes born in Shaoyin Junhuo sitian, Yangming Zaojin sitian is at increased risk of DKD. From the perspective of Zaiquan, patients with type 2 diabetes born in Shaoyin Junhuo ZaiQuan had an increased risk of developing DKD by 1.217 times (,P,=0.049).,Conclusion,2,Congenital Yun Qi endowment with kidney essence deficiency,liver excess and spleen deficiency,and dry heat of the yin deficiency in type 2 diabetes mellitus are easy to suffer from DKD.
五运六气糖尿病肾脏疾病出生时间先天运气禀赋
Wu Yun and Six Qidiabetic kidney diseasebirth timecongenital Yun Qi endowment
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