青海东部地区酒精性肝病患者的中医体质特征分析

Analysis of Traditional Chinese Medicine Physique Characteristics of Patients with Alcoholic Liver Disease in Eastern Qinghai

目的:分析青海东部地区酒精性肝病患者的中医体质特征及证候分布特点,为临床诊疗提供理论依据。方法:收集2019年1月—2020年12月我院及其医联体、对口帮扶单位肝病消化门诊及住院治疗的219例酒精性肝病患者,其中,酒精性脂肪肝48例、酒精性肝炎116例、酒精性肝硬化55例,分析其中医体质特征及临床证候分布特点。结果:219例酒精性肝病患者中医体质以湿热质为主,其中在48例酒精性脂肪肝患者中出现频率较高的中医体质依次为气虚质、湿热质、痰湿质,分别为18例(37.50%)、13例(27.08%)、10例(20.83%);在116例酒精性肝炎患者中出现频率较高的中医体质依次为湿热质59例(50.86%)、气虚质26例(22.41%)、血瘀质15例(12.93%),在55例酒精性肝硬化患者中出现频率较高的中医体质依次为气虚质、血瘀质、湿热质,分别为29例(52.73%)、16例(29.09%)、5例(9.09%)。中医体质类型与性别、酒精性肝病诊断类型有关(P<0.05),与病程、年龄无关(P>0.05)。结论:青海东部地区酒精性肝病患者男性多于女性,中医体质主要为湿热质,中医证候主要为湿热内蕴证。

Objective:This paper is aimed to study and analyze the distribution characteristics of constitution and syndromes of traditional Chinese medicine of alcoholic liver disease in the eastern part of Qinghai to provide theoretical basis for clinical diagnosis and treatment.Methods:The team sorted out and analyzed the constitutional characteristics and clinical syndrome distribution characteristics of 219 patients with alcoholic liver disease in the liver disease digestive clinic and hospitalization of Traditional Chinese Medicine Hospital of Qinghai and its medical consortium and counterpart assistance units from January 2019 to December 2020.Among them,there are 48 cases of alcoholic fatty liver,116 cases of alcoholic hepatitis,and 55 cases of alcoholic cirrhosis.Results:TCM constitution of 219 patients with alcoholic liver disease was dominated by damp-heat constitution.Among them,the constitution of TCM with higher frequency of alcoholic fatty liver disease was Qi deficiency,damp-heat,and phlegm,accounting for 37.50%(18/48),27.08%(13/48),20.83%(10/48)respectively;TCM constitutions that frequently occur in patients with alcoholic hepatitis are damp-heat,qi deficiency,and blood stasis,accounting for 50.86%(59/116),22.41%(26/116),12.93%(15/116)respectively;and the TCM constitutions that frequently occur in patients with alcoholic liver cirrhosis are Qi deficiency,blood stasis,and damp-heat,accounting for 52.73%(29/55),29.09%(16/55),9.09%(5/55)respectively.TCM syndromes of patients with alcoholic liver disease are mainly damp-heat internal.Conclusion:The TCM constitution of patients with alcoholic liver disease in the eastern part of Qinghai is mainly damp-heat constitution,among whom the number of males is more than females,and the TCM syndromes are mainly damp-heat intrinsic syndrome.