51例乙型肝炎肝硬化中医证候特征的临床分析

Clinical analysis for TCM syndromes characteristics on 51 cases of hepatitis B cirrhosis

目的:研究乙型肝炎肝硬化的中医证素特征,为临床防治提供依据。方法:采用中医证素辨证方法,对51例乙型肝炎肝硬化患者的临床四诊资料进行分析,得出证素名称,根据其积分数值确定其病位与病性。结果:70分以上的证素分布百分比,居于前列的为肝[33(64.71%)]、湿[30(58.82%)]、脾[26(50.98%)]、阴虚[22(43.14%)]、气滞[21(41.18%)]、热[20(39.22%)];在70分以上的证素中,肝脾同见者19例、肝肾并见者12例,湿、热并见者17例。结论:本研究的51例乙型肝炎肝硬化的中医病理特性表现为:病位以肝为主,多与脾共见,病性以阴虚为本,湿热为标,而湿较热更多见。

Objective： To study the TCM syndromes characteristic of hepatitis B cirrhosis, provide a basis for the prevention and treatment of the disease. Methods： The methods of TCM syndrome elements differentiation was used to analyze the diagnostic information on 51 cases of hepatitis B cirrhosis, which got the name of the syndrome elements and determined the disease location and disease character according to its syndrome elements value. Results： The percentage distribution of syndrome elements which was more than 70 points were as followed： liver 33 （64.71%）, dampness 30 （58.82%）, spleen 26 （50.98%）, and Yin deficiency 22 （43.14%）, qi stagnation 21 （41.18%） and heat 20 （39.22%）. The syndrome elements which were more than 70 points were liver combined with spleen （19 cases）, liver combined with kidney （12 cases）, and dampness combined with heat （17 cases）. Conclusion： In this study, the TCM pathological features of 51 cases of hepatitis B cirrhosis showed that： the disease location is mainly in the liver, and most of time combined with spleen, the root cause of disease character was Yin deficiency, and the symptom of the disease was heat and dampness, and dampness is more than heat.