慢性乙型肝炎合并免疫性肝炎与中医证型相关性分析

The Analyse of the Relativity Between Chronic Hepatitis B Companied Autoimmune Hepatitis and Syndrome’s Types of Traditional Chinese Medicine

目的:探讨慢性乙型肝炎合并免疫性肝炎与中医证型的相关性。方法:对2000年4月—2005年12月于本院感染科就诊的慢性乙型肝炎患者680人的肝功能、HBV—DNA、抗核抗体(ANA)谱及中医证型等因素进行统计分析,找出病证规律。结果:ANA阳性和ANA阴性两组患者多数具备肝郁脾虚表现,而兼肝胆湿热型、瘀血内结型、肝肾两虚型表现者ANA阳性组比例明显高于ANA阴性组(P<0.05〉。结论:慢性乙型肝炎合并免疫性肝炎与中医证型的相关。

Objective： To investigate the relativity between chronic hepatitis B（CHB） companied autoimmune hepatitis（AH） and syndromc＇s types of Traditional Chinese Medicine （TCM）. Methods： Make a statistical analysis about the factors of liver function, HBV -DNA, ANA and syndromes types of TCM in 680 individuals with CHB to find out the rule between diseases and syndrome＇s types of TCM. Result： Most of patients represent syndrome of liver depression with spleen insufficiency neithor positive ANA nor negative ANA. While the rate of positive ANA in the patients who represent syndrome of dampheat in liver and gallbladder, blood stasis and liver- kidney impairment is signifiantly higher than the rate of negative ANA（ P 〈 0. 05）. Conclusion： CHB companied AH is relative with syndrome＇s TCM.