270例脂肪肝中医证型与相关因素临床分析

Analyses of Fatty Liver Syndrome and Associated Factors in Clinical Research

目的:探讨脂肪肝中医证型特点及与相关因素的关系,为脂肪肝的中医辨证论治提供依据。方法:将270例脂肪肝患者进行中医证型分析,筛选出频率最高的四种中医证型与性别、脂肪肝程度及BMI等因素比较其相关性。结果:武汉地区临床患者中以肝郁脾虚及肝肾阴虚型最为多见,且脾虚湿阻型中男性多于女性且脂肪肝程度较轻(P<0.01);肝郁脾虚型女性多于男性且以轻度及中度脂肪肝多见(P<0.05);超重、肥胖发病率、体重指数均值比较,各型脂肪肝差异均无显著性意义(P>0.05)。结论:脂肪肝中医证型与性别及脂肪肝程度有相关性,与超重、肥胖发病率、体重指数无明显相关性。

Objective：to explore the characteristics of fatty liver syndromes,it provide the basis for the clinical syndrome differentiation.Method：The 270 cases of patients with fatty liver syndrome is divided into deficiency of liver-yin and kidney-yin,the depressed liver with the insufficient spleen,damp-heat pathogens and obstruction of collaterals by blood stasis in the 4,Compared with gender degree of fatty liver and BMI,and the relationship between TCM.Result：Clinical patients in Wuhan to liver and kidney and liver stagnation and spleen deficiency the most common,and heat resistance type in men than in women and fatty liver to a lesser extent（P0.01）;Stagnation and spleen deficiency and more women than men with mild and moderate fatty liver more common（P0.05）;Overweight,obesity incidence,mean body mass index compared with all types of fatty liver showed no significant（P 0.05）.Conclusion：Fatty Liver Syndrome and gender and the degree of fatty liver associated with overweight and obesity prevalence,body mass index was not related.