酒精性肝病患者中医体质分布特点及证型分布研究  

Study on the distribution characteristics of traditional Chinese medicine constitution and syndrome types in patients with alcoholic liver disease

作　　者：吴云[1] 姚志山[1] 王巍 张文静[1] 张志勇 WU Yun;YAO Zhishan;WANG Wei;ZHANG Wenjing;ZHANG Zhiyong(Fourth Department of Internal Medicine,The Second People's Hospital of Fengrun District,Tangshan,Hebei 064099;不详)

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064099 [2]河北省唐山市精神卫生中心党办室,河北唐山063004 [3]河北省唐山市丰润区中医医院脾胃肝胆科,河北唐山064099

出　　处：《河北中医》2021年第1期25-28,33,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2020年度中医药类科研计划课题(编号:2020406)。

摘　　要：目的研究分析酒精性肝病(ALD)患者中医体质分布特点,以及不同中医体质的证型分布情况研究。方法收集2016-03—2020-03就诊的ALD门诊(100例)或住院(71例)患者,记录患者的性别、年龄、日折合乙醇量及ALD具体诊断情况,通过填写《中医体质分类与判定自测表》判定患者的中医体质,通过望、闻、问、切四诊资料判定患者的中医证型,统计患者的中医体质分布特点,分析患者不同中医体质的证型分布情况。结果171例ALD患者的中医体质类型分布以湿热质居多,占48.0%(82/171);ALD患者中性别以男性居多,占88.3%(151/171),年龄以40~59岁居多,占74.3%(127/171),日折合乙醇量以120~159 g/d居多,占40.4%(69/171),ALD具体诊断以酒精性肝硬化居多,占70.8%(121/171),且上述患者中医体质均表现为湿热质。171例ALD患者中医证型分布以肝胆湿热证居多,占62.6%(107/171),其中湿热质、血瘀质、痰湿质、阴虚质、阳虚质及平和质患者的中医证型分布差异有统计学意义(P<0.05)。结论ALD患者中医体质以湿热质为主,男性居多,年龄主要分布在40~59岁,日折合乙醇量在120~159 g/d居多,病情多处于酒精性肝硬化阶段,且不同中医体质患者的证型分布具有差异性,湿热质、痰湿质及平和质均以肝胆湿热证为主,血瘀质以痰瘀阻滞证为主,阴虚质以肝肾阴虚证为主,阳虚质以脾肾阳虚证为主。Objective To study on the distribution characteristics of traditional Chinese medicine constitution and different syndrome types in patients with alcoholic liver disease.Methods Gender,age,daily equivalent of ethanol,as well as specific diagnosis in ALD were collected form 171 patients who were treated in our hospital from March 2016 to March 2020."Classification and Judgment Self-Test Table of TCM Constitution"was filled to determine TCM constitution in those patients,the four TCM methods,such as looking,listening,asking and feeling,were used to judge TCM constitution in ALD patients,aiming to study the distribution characteristics of TCM constitution,and analyze the correlation between TCM constitution and syndrome types.Results The TCM constitution in all these patients,the damp-heat type TCM constitution was the most distributed,with 82 cases accounting for 48.0%(82/171);of which most of the gender were male,with a total of 151 cases,accounting for 88.3%(151/171);and most of aged were 40~59 years old,with a total of 127 cases,accounting for 74.3%(127/171);the daily equivalent of ethanol was mostly 120~159 g/d,with a total of 69 cases accounted for 40.4%(69/171);the mostly specific diagnosis in ALD were alcoholic cirrhosis,with 121 cases accounting for 70.8%(121/171),and the TCM constitutions in those patients were all manifested as damp-heat type.The TCM syndrome in all these patients,the gallbladder damp-heat syndrome was the most distributed,with a total of 107 cases accounting for 62.6%(107/171);of which there were significant differences in TCM syndrome distribution in damp-heat constitution,blood stasis constitution,phlegm-dampness constitution,yin deficiency constitution,yang deficiency constitution,and balanced constitution(P<0.05);these TCM physiques are manifested as the following TCM syndrome manifestations:damp-heat constitution,phlegm damp constitution,and balanced constitution all as gallbladder damp-heat syndrome;blood stasis as phlegm stasis block syndrome;yin deficiency constitution as liver-k

关 键 词：肝疾病 酒精性 体质学说 辨证分型 

分 类 号：R256.4[医药卫生—中医内科学]