205例广西乙型肝炎肝硬化患者的中医体质规律研究

Research on the rules of traditional Chinese medical constitution in 205 patients with hepatitis B cirrhosis in Guangxi Zhuang Autonomous Region

目的通过观察乙肝肝硬化患者体质量表得分情况,探讨其中医体质规律。方法采用问卷调查的方法 ,以王琦的《中医体质分类与判定表》为标准,对205例乙肝肝硬化患者进行体质调查及中医体质判定。结果 205例广西乙肝肝硬化患者的中医体质类型以痰湿质、阳虚质、气郁质、气虚质的比重最大;其次是湿热质、血瘀质、阴虚质;而平和质、特禀质所占比例较少。乙肝肝硬化男性患者中医体质类型以痰湿质、阳虚质多见,而女性患者以气郁质、痰湿质、气虚质较为多见。失代偿期肝硬化患者阳虚体质和气虚体质分值均明显高于代偿期肝硬化患者,而代偿期肝硬化患者气郁体质和痰湿体质分值高于失代偿期肝硬化患者,差异有统计学意义(P<0.01或P<0.05)。结论乙肝肝硬化患者中医体质类型分布主要以痰湿体质、阳虚体质、气郁体质、气虚体质较为多见;并且性别之间各有偏重。乙肝肝硬化代偿期患者以痰湿体质、气郁体质多见,乙肝肝硬化失代偿期患者以阳虚体质、气虚体质多见,随着病情的加重,阳虚体质、气虚体质愈发明显。

Objective To explore the rules of traditional Chinese medical constitution,through observing the scores of constitution scale of patients with hepatitis B cirrhosis.Methods The questionnaire survey was used,A Scale for Classification and Determination of Traditional Chinese Medical Constitutions by Wang Qi was taken as standard,205 patients with hepatitis B cirrhosis were conducted to investigate the constitution and determine their patterns of traditional Chinese medical constitution.Results Overall,in 205 patients with hepatitis B cirrhosis in Guangxi Zhuang Autonomous Region,the most frequently identified patterns were phlegm-dampness,yang deficiency,qi movement stagnation,and qi deficiency,followed by dampness-heat,yin deficiency,and blood stasis,the least commonly detected patterns were the gentle constitution and the special endowment constitution.In men with hepatitis B cirrhosis,phlegmdampness and yang deficiency were the main patterns.Women with hepatitis B cirrhosis were more likely to have qi movement stagnation,phlegm-dampness,or qi deficiency.The scores of yang deficiency pattern and qi deficiency pattern in patients with decompensated cirrhosis were much higher than those of patients with compensated cirrhosis,while the scores of qi movement stagnation pattern and phlegm-dampness pattern in patients with compensated cirrhosis were much higher than those of patients with decompensated cirrhosism,the differences were statistically significant（P〈0.01 or P〈0.05）.Conclusion The distribution of traditional Chinese medical constitution in patients with hepatitis B cirrhosis are mainly involved in phlegm-dampness,yang deficiency,qi movement stagnation,and qi deficiency,and those patterns vary differently between men and women.Moreover,the phlegm-dampness pattern and qi movement stagnation pattern are more often seen in patients with compensated cirrhosis;the yang deficiency pattern and qi deficiency pattern are more likely to be identified in patients with decompensated cirrhosis,and the yang deficiency pattern and qi deficiency pattern appear to become more obvious with the deterioration of the illness.