肝硬化肠源性内毒素血症中医辨证分型及相关因素的初步探讨  

Study on traditional Chinese medicine syndrome types of patients with liver cirrhosis endotoximia and its correlative factors

作　　者：张友祥[1] 周新喜[1] 徐庆年[1] 陈晓蓉[1] 潘奇[1] 

机构地区：[1]复旦大学附属公共卫生临床中心中医科,上海201508

出　　处：《中西医结合肝病杂志》2010年第2期77-79,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:分析134例肝硬化肠源性内毒素血症患者的中医证候分布规律及各证型的相关因素。方法:建立证候调查量表收集证候信息并判断证型;各证型与病程、并发症、吸烟饮酒史等进行单因素相关分析。结果:①湿热证68例,占50.7%;湿热与血瘀相兼证(相兼证)62例,占46.3%;其他证型4例,占3.0%;未见单一血瘀证型;②湿热证和相兼证在病程构成比、并发症构成比及吸烟、饮酒史构成比方面比较,差异有显著性意义(P<0.05)。结论:①肝硬化肠源性内毒素血症中医证型分布以湿热证和湿热与血瘀相兼证为主;②病程较长患者相兼证发生率较湿热证高,并发症较多患者相兼证发生率较湿热证高,吸烟及饮酒史较长患者相兼证发生率较湿热证高。Objective：To analyze the traditional Chinese medicine syndrome types of the patients with liver cirrhosis and endotoximia and than explore some correlative factors of the syndrome types.Methods：Use CRF to collect syndromes,differiate types;each types make correlations with disease lenth,complication,smoke and alcohol history,etc.Results：Sixty and eight patients（50.7%） were damp-heat syndrome;62 patients（46.3%） were damp-heat with blood stasis syndrome.The twos syndromes were significantly different in disease length,complication,smoke and alcohol history,etc（P〈0.05）.Conclusion：The two major syndrome type are damp-heat syndrome and damp-heat with blood stasis syndrome.Patients with longer disease length,more complications and longer smode and alcohol history tend to be damp-heat with blood stasis syndrome,other than damp-heat syndrom.

关 键 词：内毒素 中医证型 相关因素 

分 类 号：R259[医药卫生—中西医结合]