非酒精性脂肪性肝病中医证候分布特点的研究  

Distribution characteristics of TCM syndromes of non-alcoholic fatty liver disease

作　　者：段娜[1] 李志红[1] 黄一茜[2] 杨惠民[1] 

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]河北省保定市第一中心医院

出　　处：《北京中医药大学学报》2012年第12期858-861,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药科学技术研究专项资助项目(No.06-07LB03)

摘　　要：目的探讨非酒精性脂肪性肝病中医证候分布特点。方法通过流行病学调查,收集196例非酒精性脂肪性肝病患者症状、舌脉等四诊信息资料,运用因子分析的统计方法,对24个症状、舌脉指标进行因子分析,探究非酒精性脂肪性肝病的中医证候分布特点。结果非酒精性脂肪性肝病主要有肝郁化火证、脾气虚证、肝郁脾虚证、痰湿蕴结证、湿热内蕴证、血瘀证6个证型。主要相关脏腑为肝脾,病性有虚有实,实证有痰湿、湿热、血瘀、气滞(肝),虚证主要为脾气虚。结论用因子分析的方法在一定程度上能揭示非酒精性脂肪性肝病的证候分布特点。Objective To discuss the distribution characteristics of TCM syndromes of non-alcoholic fatty liver disease. Methods Through epidemiological investigation, the four examination data of symptoms, tongue and pulse were collected from 196 patients with non-alcoholic fatty liver disease. The distribution characteristics of TCM syndromes of non-alcoholic fatty liver were studied after factor analysis on 24 symptoms and indexes of tongue and pulse by using statistical method. Results Non-alcoholic fatty liver disease had mainly 6 syndrome types including syndrome of depressed liver qi transforming ioto fire, syndrome of spleen qi deficiency, syndrome of liver depression and spleen deficiency, syndrome of phlegm-damp accumulation, syndrome of damp-heat accumulating in the interior and syndrome of blood stasis. The major related viscera and bowels were liver and spleen. The disease nature showed as excessive or deficient, and excessive syndromes included phlegm dampness, dampness heat, blood stasis and qi stagnation （liver） , and deficient syndrome was mainly spleen qi deficiency. Conclusion The method of factor analysis can reveal, to some extent, the distribution characteristics of TCM syndromes of non-alcoholic fatty liver disease.

关 键 词：非酒精性脂肪性肝病 中医证候 因子分析 

分 类 号：R256.49[医药卫生—中医内科学]