慢性乙型重型肝炎预后与中医辨证分型的关系分析  

Analysis on Relationship Between Prognosis and TCM Syndrome Differentiation of Severe Chronic Hepatitis Bvere hepatitis B

作　　者：过建春[1] 李春青[1] 马翔华 荀运浩[1] 石伟珍[1] 

机构地区：[1]杭州市第六人民医院中西医结合科,浙江杭州310014 [2]遂昌县中医院,浙江遂昌323300

出　　处：《中华中医药学刊》2012年第5期953-955,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家"十一五"科技重大专项(2008ZX10005-007)

摘　　要：目的:探讨慢性乙型重型肝炎患者预后与中医辨证分型的关系。方法:前瞻性调查2009年3月—2010年6月住院的慢性乙型重型肝炎患者97例,对每一例患者进行中医辨证分型并随访24周。结果:气虚瘀黄型、阴虚瘀黄型患者12周病死率明显高于瘀热发黄型(P<0.05),气虚瘀黄型患者12周病死率亦高于湿热发黄型(P=0.020);生存分析显示各组间的累积存活率有显著差异,以气虚、阴虚为主证的患者24周累积存活率明显低于其他证型(P=0.022)。结论慢性乙型重型肝炎的预后与中医辨证分型有着一定的关系。Objective：To explore the relationship between prognosis and TCM syndrome differentiation of severe chronic hepatitis B.Methods：Prospective studies were used to investigate 97 hospitalized cases of severe chronic hepatitis B in our hospital from March 2009 to June 2010.All patients were typed by the symptom differentiation and follow-up visited until death or for at least 24 weeks.Results：The 12-week fatality rates of qi-deficiency related stagnant jaundice and yin-deficiency related stagnant jaundice were much higher than that of heat-stagnant jaundice syndrome（P0.05）,The 12-week fatality rate of qi-deficiency related stagnant jaundice was also higher than that of damp-heat jaundice syndrome（P=0.020）;there was significant deviation among different groups＇ cumulative survival rates,the 24-week cumulative survival rates of patients with qi-deficiency or yin-deficiency were obviously lower than other three syndromes（P=0.022）.Conclusions：There is some relation between prognosis and TCM syndrome differentiation of severe chronic hepatitis B.

关 键 词：慢性乙型重型肝炎 预后 中医辨证 

分 类 号：R512.6[医药卫生—内科学]