南京地区慢性丙型肝炎中医证候分布特点

Clinical analysis of distribution characteristics of TCM syndrome on chronic Hepatitis C in Nanjing

目的:研究慢性丙型肝炎(CHC)中医证候分布特点。方法:收集南京地区CHC病例100例,建立了数据库,并采用统计软件SPSS l3.0,分析了CHC患者症状、证型分布特点,同时还对证型与客观指标相关性进行了研究。结果:CHC患者症状多、杂,症状以湿热中阻型、肝郁脾虚型症状常见,而脾肾阳虚型症状较少见。实证以湿热中阻型、肝郁脾虚型、瘀血阻络型常见;虚证以肝肾阴虚型多见,脾肾阳虚型较少。CHC患者的症状、证型、某些肝功能指标、B超等之间有一定的相关性。结论:结合B超、临床血清等检测可以动态观察CHC在各发病阶段特点,以及中医各辨证分型的相互转化过程。

Objective： To analyze the distribution characteristics of TCM syndrome on chronic Hepatitis C（CHC）.Methods： Clinical data were collected from 100 patients with CHC in Nanjing to build databases.These data were analyzed by using SPSSl3.0 statistical software,and the correlation of objective indicators and the TCM types will be researched after that.Results： The symptoms of CHC were more complicated than thought before.The symptoms of both type damp-heat in the liver and cholecyst and the stagnation of liver-qi with deficiency of the spleen type were more common,while less common symptoms were found in type of deficiency of spleen-yang and kidney-yang.The primary causes of excess type in CHC patients due to accumulation of damp-heat in the liver and cholecyst and blood stasis type,while deficiency type made up with deficiency of the liver-yin and kidney-yin type in the majority.Only a little type was classified to the type of deficiency of spleen-yang and kidney-yang.The symptoms of patients with CHC,TCM types,some liver function index,and the damage of liver displayed in B ultrasonic were correlated to a certain extent.Results： From the results of clinical serology testing and B ultrasonic investigator can observe the characteristics of CHC in each stage dynamically,and review reciprocal transformation of different TCM types in them.