慢性病毒性乙型肝炎肝纤维化中医证候特点探析.doc

慢性病毒性乙型肝炎肝纤维化中医证候特点探析 　　[摘要] 目的 对慢性病毒性乙型肝炎肝纤维化的中医证候特点展开探讨。方法 方便收集该院2014年10月―2015年10月收治的120例慢性病毒性乙型肝炎纤维化患者的临床资料及诊断资料，并进行回顾分析。该组患者均开展临床辅助检查，主要包括肝纤维化、肝功能、乙肝病毒基因等项目，并应用SPSS 19.0统计学软件进行处理与分析。 结果 经分析，该组患者在中医征候分布上，肝郁脾虚证76例，占比63.33%，瘀血阻络证14例，占比16.67%，湿热中阻证23例，占比19.17%，脾肾阳虚证2 例，占比1.67%，肝肾阴虚证5例，占比4.17%；在HA检测上，指标检测最高的为瘀血阻络证，最低为湿热中阻证，各中医证型间比较差异无统计学意义（P0.05）。结论 慢性病毒性乙型肝炎纤维化疾病在中医证候中最为常见的分型是肝郁脾虚证，其会随着慢性病毒性乙型肝炎纤维化疾病的逐渐发展减少肝纤四项的阳性患者，而肝纤检测指标会伴随疾病的加重逐渐增高 [关键词] 慢性病毒；乙型肝炎；中医证候 [中图分类号] R259 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0019-03 [Abstract] Objective To study the TCM syndrome features of chronic hepatitis B liver fiberization. Methods Convenient selection the clinical data and diagnosis data of 120 cases of patients with chronic hepatitis B liver fiberization admitted and treated in our hospital from October 2014 to October 2015 were retrospectively analyzed， and the clinical accessory examination was conducted， mainly including liver fiberization， liver function and hepatitis B virus gene and counted and analyzed by the SPSS 19.0 statistical software. Results The analysis showed that syndrome of stagnation of liver qi and spleen deficiency was in 76 cases， accounting for 63.33%， syndrome of static blood blocking collaterals was in 14 cases， accounting for 16.67%， damp-heat pattern was in 23 cases， accounting for 19.17%， yang deficiency of spleen and kidney was in 2 cases， accounting for 1.67%， syndrome of yin deficiency of liver and kidney was in 5 cases， accounting for 4.17%， and in the HA test， the highest index was blood-stasis obstruction syndrome and the lowest index was damp-heat pattern， and there was no obvious difference between different syndromes of TCM（P0.05）. Conclusion The most common somatotype of chronic hepatitis B liver fiberization diseases in the TCM syndrome is syndrome of stagnation of liver qi and spleen deficiency， with the gradual development of chronic hepatitis B liver fiberization diseases， the positive patients with four results of liver fiber