肝硬化中医证型与腹部超声相关性分析

Correlation Analysis between Traditional Chinese Medicine Syndrome Type and Abdominal Ultrasound in Cirrhosis

目的分析研究肝硬化中医证型和腹部超声的相关性。方法选取2015年9月—2018年7月收治的肝硬化患者98例为观察对象,所有患者均进行腹部超声诊断,对比分析不同中医证型患者腹部超声诊断的差异。结果肝气郁结证和肝肾阴虚证患者肝左叶上下径均明显高于血瘀证患者(P <0. 05);湿热内蕴证患者的脾脏厚度明显低于血瘀证患者(P <0. 05);肝气郁结证患者的门静脉平均血流速度和血流量均明显高于血瘀证患者(P <0. 05)。其他指标不同证型相比均无明显差异(P> 0. 05)。结论肝硬化患者不同中医证型患者随着病情的发展肝脾大小和血流动力学均有一定程度的变化,门静脉主干内径、主干血流量和流速可作为临床判别脾肾阳虚证患者和血瘀证患者的诊断依据。

Objective To analyze the correlation between TCM syndrome type of cirrhosis and abdominal ultrasound. Methods 98 patients with cirrhosis admitted to our hospital from September 2015 to July 2018 were selected as observation subjects. All patients underwent abdominal ultrasound diagnosis. The differences in abdominal ultrasound diagnosis among different TCM syndrome patients was compared and analyzed. Results The upper and lower diameters of the left hepatic lobe in patients with liver-qi stagnation syndrome and liver-kidney-yin deficiency syndrome were significantly higher than those in patients with blood stasis syndrome( P < 0. 05). The spleen thickness of patients with damp-heat syndrome was significantly lower than that of patients with blood stasis syndrome( P < 0. 05). The mean blood flow velocity and blood flow of the portal vein in patients with liver qi stagnation syndrome were significantly higher than those in patients with blood stasis syndrome( P < 0. 05). There were no significant differences in other indicators compared with other syndromes( P > 0. 05).Conclusion Patients with different cirrhosis of liver cirrhosis have a certain degree of changes in liver spleen size and hemodynamics with the development of the disease. The main diameter of the portal vein,the main blood flow and the flow rate can be used as clinical criteria for judging spleen and kidney yang deficiency syndrome and blood,and provide basis for the diagnosis of the patient.