早期肝硬化门脉高压症中医证候类型初探  

The study traditional Chinese medical(TCM) syndromes with portal hypertension in the early stage

作　　者：杨以琳[1] 郑青[2] 杨洁[1] 古伟明[1] 

机构地区：[1]广州市中医医院,510130 [2]上海交通大学医学院附属仁济医院,200127

出　　处：《广州医药》2011年第1期48-50,共3页Guangzhou Medical Journal

摘　　要：目的初步探讨早期肝硬化门脉高压症的中医证型,为制定相关的理法方药提供参考依据。方法以调查研究表的形式对两间医院的179例肝硬化门脉高压症患者进行调查,按Child-pugy分级选取符合A、B级共150例并应用聚类分析进行统计学处理,初步提出中医证型。结果 142例归为一类,根据中医诊断学理论可归为脾虚夹湿或湿热型。而另8例分别归为3类,样本数过少难以进行统计,故忽略。结论脾虚夹湿或湿热是早期肝硬化门脉高压症最常见的证型。Objective To explore the traditional Chinese medical（TCM） syndromes with portal hypertension in the early stage,and to provide referential basis for the treatment principles and methods as well as herbal formulars as guideline.Methods A clinical questionnaire was designed according to the clinical characteristics and the demands of TCM information collection.In a total of 179 patients with portal hypertension from two hospitals,150 Child-pugh grade A and B patients were selected for statistical cluster analysis for preliminary proposing the major TCM syndromes with portal hypertension.Results 142 cases were classified into the same TCM syndrome type by cluster analysis.According to the diagnostic theory of TCM,this most prevalent type is dampness or dampness-heat due to spleen deficiency.The other 8 cases were classified into another three categories.But the sample size is too small to produce valid statistic result.Conclusion The symdromes of dampness or dampness-heat due to spleen deficiency is the most common TCM syndromes in the early stage of portal hypertension in liver cirrhosis.

关 键 词：肝硬化门脉高压症 聚类分析 中医证型 

分 类 号：R259[医药卫生—中西医结合]