慢性乙型肝炎的中医证型分布特点观察分析

Observation and Analysis of TCM Distribution Characteristics of Chronic Hepatitis B

目的研究慢性乙型肝炎中医证型分布特点以及中医证型与理化检查指标的关系。方法回顾性分析整理慢性乙型肝炎住院患者的中医诊断及中医证型占比例,观察慢性乙型肝炎中医证型分布特点;对中医证型与肝功能主要指标进行对比分析。结果慢性乙型肝炎最常见中医诊断为湿阻、占47%,其次主要为胁痛(32.5%)和黄疸(11.6%),中医证型以肝胆湿热证最多、占54.4%,其次为肝郁脾虚证(22.4%)和脾肾阳虚证(17.2%)。肝胆湿热证患者肝功能ALT和AST水平最高,TBIL水平则以肝肾阴虚证最高。结论慢性乙型肝炎中医证型以肝胆湿热证最常见,且中医证型与肝功能指标变化有明显相关性。

Objective Study of TCM Syndrome Patterns of chronic hepatitis and the distribution characteristics of TCM syndromes and physicochemical examination index relationship.Methods Retrospective analysis of hospitalized patients with chronic hepatitis TCM diagnosis and TCM syndrome type proportion,Observation on TCM syndrome of chronic virus hepatitis B distribution characteristics;the syndrome type of traditional Chinese medicine and liver function index comparative analysis.Results Chronic hepatitis B is the most common diagnosis in traditional Chinese medicine for moisture resistance,accounting for 47%,followed by mainly for chest pain（32.5%） and jaundice（11.6%）,TCM syndrome type of damp-heat in liver and gallbladder,up to 54.4%,followed by liver stagnation and spleen deficiency（22.4%） and（17.2%） of spleen kidney yang deficiency syndrome.Liver-gallbladder dampnessheat syndrome of liver function of the patients with ALT and AST levels were highest,while TBIL levels with Yin deficiency of liver and kidney syndrome highest.Conclusion TCM Syndrome Patterns of chronic hepatitis B with type of damp-heat in liver and gallbladder is the most common,and the syndrome type of traditional Chinese medicine and liver function indexes have significant correlation.