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594例轻度慢性乙型肝炎中医证候分布规律调查研究
  • ISSN号:1005-0264
  • 期刊名称:中西医结合肝病杂志
  • 时间:2012
  • 页码:133-135+195
  • 分类:R512.62[医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]上海中医药大学附属曙光医院上海市中医临床重点实验室上海,201203
  • 相关基金:“十一五”国家科技重大专项(Nn2006ZX10005-006),国家自然科学基金(№81102570,No.81072792),国家中医药管理局中医肝胆病重点学科(Nn2010sh),上海市自然科学基金(№10ZR1430900),上海市科委科技人才计划项目(No.10XD1404100),上海市教育委员会重点学科(第五期)建设资助项目(No.J50307),上海高校创新团队项目(第一期);上海中医药大学优秀团队培养计划,浦东新区中医领军型人才项目,上海市医学领军人才项目(No.LJ10004);
  • 相关项目:基于先天免疫模式识别受体研究补肾冲剂抗HBV的作用机制
中文摘要:

目的:探讨轻度隧性乙型肝炎(CHB)患者的中医证候分布规律,为规范化治疗CHB提供参考依据。方法:运用中医证候量表对594例轻度CHB患者进行中医证候调查,采用聚类分析的方法对纳入的患者进行聚类,并结合变量频数分析对证型归属进行判定。结果:收集的轻度CI-IB病例均以肝郁脾虚为主要证型,在此基础上合并有6个兼证,分别为肝郁脾虚兼湿热阴虚血瘀证型(6280%)、肝郁脾虚兼肝肾阴虚证型(24.24%)、肝郁脾虚兼肝郁化火证型(5.05%)、肝郁脾虚兼肝胃不和证型(3.70%)、肝郁脾虚兼中气亏虚证型(253%)和肝郁脾虚兼瘀血阻络证型(1.68%)。肝郁脾虚兼湿热阴虚血瘀证型又进一步分为5个亚型,分别为脾虚为主型(45.30%)、普通型(22.52%)、气滞为主型(17.70%)、湿热为主型(1Q46%)、肾虚为主型(402%)。

英文摘要:

Objeclive: To discuss the distribution law of the traditional Chinese medicine (TCM) syndrome in mild chronic hep- atitis B, and provide the evidence to standardize treatment of chronic hepatitis B. Methods: Five hundred ninety-four patients with chronic hepatitis B were collected, the TCM syndrome was judged by the scale of the TCM syndrome, and the identification patterns were determine by the distribution of variables using duster analysis. Results: The main identification pattern of mild chronic hepatitis B was liver stagnation and spleen deficiency. There were six accompanying syndromes within the main pattern, damp heat - Yin defi- ciency and blood stasis syndrome (62. 80% ), Yin deficiency of liver and kidney syndrome (24. 24% ), depressed liver Qi transfor- ming into fire syndrome (5. 05% ), liver and stomach incoordination syndrome (3. 70% ), Qi deficiency syndrome (2. 53% ), blood stasis syndrome ( I. 68% ), and the liver stagnation and spleen deficiency accompanying damp heat - Yin deficiency and blood stasis syndrome also included five subtypes, spleen deficiency syndrome (45. 30% ), usual syndrome (22. 52% ), Qi stagnation syndrome ( 17. 70% ), damp heat syndrome ( 10. 46% ), kidney deficiency syndrome (4. 02% ) . Conclusion: The main identification pattern of mild chronic hepatitis B is liver stagnation and spleen deficiency.

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期刊信息
  • 《中西医结合肝病杂志》
  • 中国科技核心期刊
  • 主管单位:湖北省教育厅
  • 主办单位:中国中西医结合学会 湖北中医学院
  • 主编:王伯祥
  • 地址:武汉市武昌区胭脂路园山4号
  • 邮编:430061
  • 邮箱:ZXYGBZZ@yahoo.com.cn
  • 电话:027-88854726
  • 国际标准刊号:ISSN:1005-0264
  • 国内统一刊号:ISSN:42-1322/R
  • 邮发代号:38-179
  • 获奖情况:
  • 国内外数据库收录:
  • 被引量:13639