重型肝炎中医证型辨证标准探析之三

An Exploration on Criteria of Syndrome Differentiation for Severe Hepatitis in Traditional Chinese Medicine: Ⅲ

目的:初步建立重型肝炎中医证型辨证标准。方法:选择2005年6月至2007年6月于广西中医学院第一附属医院等4家医院肝病科收治入院的重型肝炎患者,采用临床流行病学和医学统计学方法,研究建立重型肝炎中医证型辨证标准。从多角度实现变量的筛选和证候标准的制定,为本病的中医证型辨证确定较可靠的依据。结果:80多个症状条目经6种方法筛选,最后保留42个对重型肝炎9个证型有意义的变量。3种及以上方法都被选择"+"的可被纳入证候标准。结论:本研究所建立的重型肝炎证型辨证标准与中医理论和临床实际情况有较好的一致性。

Objective： To develop differentiation criteria for traditional Chinese medical syndromes of severe hepatitis. Methods： Patients who presented to department of Hepatopathy in 4 hospitals including the First Hospital Affiliated to Guangxi Traditional Chinese Medical University with severe hepatitis during June 2005 to June 2007 were selected. Clinical epidemiological and statistical methods were used to establish a set of criteria for differentiation of syndromes of severe hepatitis in traditional Chinese medicine. Variables were screened by different methods. Results： Among more than 80 symptom items screened by 6 methods, 42 variables relevant to 9 syndromes of severe hepatitis retained. Variables with a rating of ＂＋＂ by ≥ 3 methods were eligible for inclusion in the criteria. Conclusion： Our criteria seem to have a high consistency with traditional Chinese medical theories and clinical practice.