慢性乙型肝炎病毒携带者中医证候分布特点  

Distribution Characteristics of TCM Syndrome in Chronic Asymptomtic Hepatitis B Virus Carriers

作　　者：吴银亚[1,2] 谭善忠[1,2] 沈建军[1] 肖倩[1] 梁重锋[1] 蒋淑莲[1] 

机构地区：[1]南京市第二医院,江苏南京210003 [2]南京中医药大学,江苏南京210046

出　　处：《中医药信息》2013年第5期20-22,共3页Information on Traditional Chinese Medicine

基　　金：江苏省中医药局科技项目(LZ09097);江苏省中医药领军人才项目(苏中医政[2009]72号);江苏省"333高层次人才培养工程"项目(苏人才[2011]15号)

摘　　要：目的:探讨慢性乙型肝炎病毒携带者中医证候分布特点。方法:收集南京市第二医院慢性乙型肝炎病毒携带者200例,分为HBeAg(+)组100例,HBeAg(-)组100例,辨证分析"湿、热、瘀、虚"证候的分布特点。结果:HBeAg(+)组湿证、热证、瘀证、气虚证、血虚证、阴虚证、阳虚证的病例数分别为3、45、16、87、13、21、0例,HBeAg(-)组分别为4、19、30、91、17、35、0例;两组均以气虚证为主,比较无统计学差异(P>0.05),HBeAg(+)组热证多于HBeAg(-)组,而HBeAg(-)组瘀证和阴虚证多于HBeAg(+)组,其比较有统计学意义(P<0.05);湿证、血虚证和阳虚证两组均较少,组间比较无统计学意义(P>0.05)。结论:慢性HBV携带者在慢性病程中以气虚证为主,HBeAg(+)与HBeAg(-)兼夹有湿、热、瘀证的不同,HBeAg(+)者热证居多,而HBeAg(-)者瘀证居多。Objective：To investigate the distribution differences of syndrome in chronic asymptomtic hepatitis B virus carriers.Methods：200 chronic asymptomtic hepatitis B virus carriers from The Second Hospital of Nanjing were divided into HBeAg（＋）group（100 patients）and HBeAg（-）group（100 patients）.Investigate the characteristics and distribution of syndrome of dampness,heat,blood stasis and deficiency by TCM differentiation.Results：The distribution differences of patients were as follows：In HBeAg（＋）group,the cases of syndrome of dampness,heat,blood stasis,deficiency of qi,blood,yin and yang were 3,45,16,87,13,21,0,respectively.In HBeAg（＋）one,the cases were 4,19,30,91,17,35,0,respectively.There was no significant difference between the two groups,both of which showed syndrome of deficiency of qi（P ＞0.05）.In HBeAg（＋）group,the percentage of syndrome of heat in HBeAg（＋）group was higher than that in HBeAg（-）one,and the percentage of syndrome of blood stasis and deficiency of yin in HBeAg（-）group were higher than those in HBeAg（＋）group（P ＜ 0.05）.Syndrome of dampness,deficiency of blood and yang were rarely showed in our study,and there was no significant difference among the interclasses（P ＞ 0.05）.Conclusion：Chronic asymptomtic hepatitis B virus carriers mainly show syndrome of qi deficiency,accompanied by syndrome of dampness,heat and blood stasis.The HBeAg（＋）case represents for syndrome of heat,and the HBeAg（-）case represents for syndrome of blood stasis.

关 键 词：慢性乙型肝炎病毒携带者 中医证型 分布 

分 类 号：R259[医药卫生—中西医结合]