非酒精性脂肪肝中医证型与彩超指标相关性分析

The correlation analysis of TCM syndrome and color doppler index in non-alcoholic fatty liver

目的:研究探讨非酒精性脂肪肝中医症型与彩超指标的联系,并进行分析。方法:选取2015年4月-2016年4月我院门诊接收的150例非酒精性脂肪肝患者,所有患者均进行中医分型和彩超诊断分度,观察不同证型患者与尿血酸(UA)、血糖(GLU)等彩超指标的联系,并进行统计学分析。结果:中医证型的发病率高低顺序为脾虚湿滞型、湿热困脾型、肝郁脾虚型;此外轻度患者多为中医肝郁脾虚型,中度患者多为脾虚湿滞型,而重度患者多为湿热困脾型,且彩超分度的证型之间存在统计学差异,P<0.05;脾虚湿滞型患者的GGT升高比较明显,P<0.05。结论:非酒精性脂肪肝的中医证型与彩超指标具有一定的相关性,因此彩超的各项指标能为中医证型的诊断提供一定的参考价值。

Objective:To investigate and analyze the relationship between TCM syndromes and color doppler index in non-alcoholic fatty liver.Methods:150 cases were divided TCM syndromes and diagnosed by color doppler.The relationship between TCM syndromes and color doppler indexes such as UA,GLU were observed and analyzed.Results:The morbidity was in the order of the Pixu Shizhi type(脾虚湿热证),the Shire Kunpi type(湿热困脾证)and the Ganyu Pixu type(肝郁脾虚证).Than the TCM syndrome was the Ganyu Pixu type of mild patients;that was the Pixu Shizhi type of moderate patients and the Shire Kunpi type of severe patients;there was a significant difference in TCM syndrome between color hyperdensity,P<0.05.The GGT in patients of the Pixu Shizhi type was significantly higher,P<0.05.Conclusion:The TCM syndromes of non-alcoholic fatty liver have a certain correlation with the indexes of color doppler ultrasound.There was certain reference value on the diagnosis of TCM syndromes by the indexes of color doppler ultrasound.