酒精性肝病患者的中医体质特征分析  

Characterstic features of TCM constitution in patients with alcoholic liver disease

作　　者：姚志山[1] 吴云[1] 张文静[1] 李术先 王巍 毛宇湘 YAO Zhi-shan;WU Yun;ZHANG Wen-jing(Fourth Department of Internal Medicine,The Second People′s Hospital of Fengrun District(Tangshan,Hebei 064000),China)

机构地区：[1]河北省唐山市丰润区第二人民医院内四科,河北唐山064000 [2]河北省唐山市丰润区中医院重症监护室 [3]河北省唐山市第五医院党委办公室 [4]河北省中医医院脾胃病二科

出　　处：《中西医结合肝病杂志》2021年第3期213-215,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：河北省中医药管理局课题项目(No.2020406)。

摘　　要：目的:分析酒精性肝病患者的中医体质情况,为临床治疗提供依据。方法:分析2018年1月至2019年12月在唐山市丰润区第二人民医院、唐山市丰润区中医院肝病门诊及住院治疗的189例酒精性肝病患者的体质分布及中医体质分值情况,探讨酒精性肝炎、肝硬化患者在中医体质分布、分值方面的差异及相关临床特点。结果:两组患者体质分布均以湿热质为主,酒精性肝炎组(A组)患者出现频率较高的中医体质依次为湿热质、气郁质、血瘀质,分别占82.02%(73/89)、47.19%(42/89)、37.08%(33/89);酒精性肝硬化组(B组)患者出现频率较高的中医体质为湿热质、血瘀质、痰湿质,分别占92.0%(92/100)、80.0%(80/100)、38.0%(38/100)。两组患者体质量表得分均为湿热质患者最高,差异无统计学意义(Z=0.82,P>0.05)。A组患者气郁质分值明显高于B组,差异有统计学意义(Z=3.64,P<0.05);B组患者血瘀质分值显著高于A组,差异有统计学意义(Z=7.06,P<0.05)。结论:酒精性肝病患者的体质特征为湿热质,酒精性肝炎患者的体质偏于气郁和血瘀;酒精性肝硬化患者的体质偏于血瘀和痰湿。Objective:To assess the characteristic features of traditional Chinese medicine(TCM)constitution and its correlation with clinical manifestations in patients with alcoholic liver disease.Methods:One hundred and eighty-nine patients with alcoholic liver disease admitted to Second People's Hospital of Fengrun District and TCM Hospital of Fengrun District from January 2018 to December 2019 were included and divided into alcoholic hepatitis group(group A,n=89)and alcoholic cirrhosis group(group B,n=100).TCM constitution was defined according to the“TCM Constitution Scale”and the characteristic features of the TCM constitution were compared between the two groups.Results:The three most common TCM constitutions were damp heat constitution(82.02%,73/89),Qi stagnation constitution(47.19%,42/89),and blood stasis constitution(37.08%,33/89)in group A,compared with damp heat constitution(92.0%,92/100),blood stasis constitution(80.0%,80/100)and phlegm dampness constitution(38.0%,38/100)in group B.Damp heat constitution was the most common TCM constitution in both groups and the score of damp heat constitution was similar between two groups(Z=0.82,P>0.05),whereas the score of Qi stagnation constitution was significantly higher(Z=3.64,P<0.05)and that of blood stasis constitution was significantly lower(Z=7.06,P<0.05)in group A compared with group B.Conclusion:Damp heat constitution was the most common in patients with alcoholic liver disease.The other two common TCM constitutions were Qi stagnation constitution and blood stasis constitution in patients with alcoholic hepatitis compared with blood stasis constitution and phlegm dampness constitution in patients with alcoholic cirrhosis.

关 键 词：酒精性肝炎 酒精性肝硬化 中医体质 

分 类 号：R575.1[医药卫生—消化系统]