247例自身免疫性肝炎患者中医体质分布及衍变规律分析研究  

Research on the constitution distribution and evolution law in 247 cases of autoimmune hepatitis

作　　者：钟启华[1] 王融冰[2] 李斌[2] 王宪波[2] 周桂琴[2] ZHONG Qi-hua;WANG Rong-bing;LI Bin;WANG Xian-bo;ZHOU Gui-qin(Department of Infection,Shangluo Central Hospital of Shannxi Province,Shangluo 726000,China;Center for Integrative Medicine,Beijing Ditan Hospital Affiliated to the Capital Medical University,Beijing 100015)

机构地区：[1]陕西省商洛市中心医院感染科,商洛726000 [2]首都医科大学附属北京地坛医院中西医结合中心,北京100015

出　　处：《北京中医药》2019年第6期536-540,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：王融冰全国名老中医药专家传承工作室建设项目(国家中医药管理局2016)

摘　　要：目的研究自身免疫性肝炎(AIH)中医体质分布特点,以指导其中医药治疗与调护。方法按性别、年龄、肝硬化分组分析247例AIH患者中医体质类型分布及衍变。结果 AIH中医体质分布比例:阴虚质(25.1%)、气郁质(21.1%)、气虚质(15.0%)、平和质(13.0%)、湿热质(10.5%)、痰湿质(8.1%)、血瘀质(3.2%)、阳虚质(3.2%)、特禀质(0.8%);性别不影响中医体质类型分布,而年龄和肝硬化对中医体质类型分布有影响。结论自身免疫性肝炎患者主要为偏颇体质,以阴虚质、气郁质及气虚质为主;随着年龄的增长,平和体质逐渐减少,而阳虚质及血瘀质逐渐增多;随着疾病进展,气郁、血瘀、阴虚、阳虚体质逐渐增多,而平和、气虚、痰湿、湿热体质逐渐减少。Objective To study TCM physical distribution features of autoimmune hepatitis( AIH) patients to provide guidance for TCM treatment and nursing. Methods 247 patients with AIH were analyzed,and according to gender,age and liver cirrhosis,the distribution of TCM constitution was observed. Results The AIH ratio of the distribution of TCM Constitution was in descending order: yin deficiency( 25. 1%) and qi stagnation( 21. 1%),qi deficiency( 15. 0%),balanced constitution( 13%),damp heat( 10. 5%), phlegm and damp( 8. 1 %),blood stasis( 3. 2%) and yang deficiency( 3. 2%),the intrinsic constitution( 0. 8%). Secondly,gender did not affect the distribution of TCM constitution type,but the age and liver cirrhosis could affect the distribution of TCM Constitution types. Conclusion The AIH patients are mainly manifested as the biased constitution,including yin deficiency,qi stagnation and qi deficiency;with the increase of age,the balanced body constitution become less,while yang deficiency and blood stasis gradually will increase;with the progression of the disease,qi stagnation,blood stasis,yin deficiency,yang deficiency constitution gradually increase,while balanced condition,qi deficiency,blood,phlegm dampness,damp heat constitution gradually reduce.

关 键 词：自身免疫性肝炎 中医体质 分布 衍变 

分 类 号：R259[医药卫生—中西医结合]