从慢性乙肝病毒感染患者胆囊超声的临床研究探讨中医“肝胆相照”理论  

Discussing Liver and Gallbladder Being Closely Related Theory by Studying B Mode Ultrasonic Images of Gallbladder in Chronic HBV Infect Patients

作　　者：郭子宁[1] 黄象安[1] 李安德[1] 陈燕力[1] 李文华[1] GUO Zining HUANG Xiangan LI Ande CHEN Yanli LI Wenhua(Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《云南中医学院学报》2017年第2期33-35,40,共4页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：国家自然科学基金(8150151097);北京中医药大学基本科研业务面上项目(2015-JYB-JSMS112)

摘　　要：目的观察慢性乙型肝炎病毒感染与胆囊异常的关系,深入探讨中医"肝胆相照"理论的病理基础和内涵。方法对102例慢性乙型肝炎病毒感染患者进行肝胆脏超声检查,记录其胆囊的影像学表现,统计不同性别、年龄、患病年限之间胆囊异常率的差异。结果 (1)胆囊异常性别之间无统计学差异(P>0.05);(2)胆囊疾病的出现率随着年龄增长而呈增加的趋势(P<0.05);(3)胆囊疾病的出现率与病程年限呈线性变化趋势(P<0.05)。结论慢性乙型肝炎病毒感染患者胆囊疾病发生率高于正常人;病毒感染时间越长,胆囊异常的发生率越高;慢乙肝病患者胆囊病变体现了中医理论中肝与胆互为表里,久病相互传变的密切关系,符合"肝胆相照"理论。提示治疗慢乙肝除了疏肝法之外给予利胆药物可能会取得更佳疗效。Objective The objective of this study was to investigate the relationship between chronic HBV infection and gallbladder abnormal, by doing this to probe the theory that liver and gallbladder being closely related. Methods Take B mode ultrasound images examination for every chronic HBV infect patient, calculate the differences of abnormal gallbladder rates between sex age and duration with chronic HBV infection. Results （1）No statistical significance was found in sex P〉0.05; （2）Abnormal gallbladder rates increased as the age goes P〈0.05; （3）Abnormal gallbladder rates increased as the duration with chronic HBV infection goes P〈0.05. Conclusions Patients with chronic HBV infection come to a higher abnormal gallbladder rate than healthy people;Longer duration with chronic HBV infection, higher abnormal gallbladder rates. The results can present the intimate relationships between liver and gallbladder in Traditional Chinese Medicine that persist illness of liver can influence the functions of gallbladder. Coincide with liver and gallbladder being closely related theory. So we put the hypothesis that add promoting bile secretion beside dispersing the stagnated liver-qi therapy may receive a better effect in curing chronic HBV infection patients.

关 键 词：“肝胆相照”理论 慢性乙型肝炎病毒感染 胆囊异常 超声检查 

分 类 号：R259[医药卫生—中西医结合]