185例乙型肝炎病毒携带者的中医体质分布及临床特征分析  

Analysis of TCM constitution distribution and clinical characteristics of 185 cases of hepatitis B virus carriers

作　　者：孙静云[1] 何婷婷[1] 顾赛红 SUN Jingyun;HE Tingting;GU Saihong(Department of Traditional Chinese Medicine,Subei People’s Hospital of Jiangsu Province,Yangzhou,Jiangsu,225001,China;Infectious Disease Hospital of Soochow University,Suzhou Fifth People’s Hospital,Suzhou,Jiangsu,215131,China)

机构地区：[1]江苏省苏北人民医院中医科,江苏扬州225001 [2]苏州大学附属传染病医院苏州市第五人民医院,江苏苏州215131

出　　处：《当代医学》2021年第18期26-28,共3页Contemporary Medicine

基　　金：江苏省苏北人民医院院级科研基金(yzucms201820)。

摘　　要：目的探究乙型肝炎病毒携带者的中医体质分布及临床特征。方法选取2018年5月至2020年1月于苏北人民医院门诊体检及咨询的HBV携带者185例作为研究对象。采用调查问卷与实验室检测相结合的方式对研究对象进行问卷调查,比较HBV携带者中医体质分布、肝功能指标、乙肝病毒基因(HBV-DNA)分布、乙肝类型分布及SAS、SDS评分情况。结果185例HBV携带者中体质分布从高到低分别为平和质、气虚质、气郁质、痰湿质、湿热质、阳虚质、阴虚质及血瘀质。不同体质类型HBV携带者肝功能指标、乙肝类型分布及HBV-DNA定量分布比较差异无统计学意义。湿热质SAS评分显著高于平和质、气虚质、气郁质、痰湿质及其他体质(P<0.05);气郁质、气虚质SDS评分均高于平和质、痰湿质、湿热质及其他体质(P<0.05),痰湿质SDS评分显著高于平和质(P<0.05),气郁质SDS评分明显高于气虚质(P<0.05)。结论HBV携带者中以偏颇体质为主;体质与肝功能指标、乙肝类型分布及HBV-DNA定量分布无相关性;HBV携带者体质与心理状况有一定相关性,其中湿热质倾向出现焦虑心理状态,气郁质、气虚质、痰湿质倾向出现抑郁心理状态。Objective To explore the constitution distribution and clinical characteristics of TCM in hepatitis B virus carriers.Methods 185 HBV carriers who received constitution examination and consultation in Subei People’s Hospital from May 2018 to January 2020 were selected as the research subjects.Using combination of questionnaires and laboratory tests to conduct questionnaire survey on the research subjects,compared the constitution distribution of HBV carriers,liver function indicators,HBV-DNA distribution,hepatitis B type distribution and SAS and SDS scores.Results The constitution distribution of 185 HBV carriers from high to low was calm,Qi deficiency,Qi stagnation,phlegm-dampness,damp-heat,Yang deficiency,Yin deficiency,and blood stasis.There was no significant difference in the liver function indexes,the distribution of hepatitis B types and the quantitative distribution of HBV-DNA among HBV carriers of different constitutions.The SAS score of damp-heat quality was significantly higher than that of calm,Qi-deficiency,Qi-stagnation,phlegm-dampness and other physique(P<0.05);the SDS scores of Qi-stagnation and Qi-deficiency were higher than those of calm,phlegm-dampness,damp-heat and other physique(P<0.05),the SDS score of phlegm-dampness quality was significantly higher than that of calm(P<0.05),and the SDS score of Qi-stagnation was significantly higher than that of Qi deficiency(P<0.05).Conclusion HBV carriers are mainly biased physique;physique has no correlation with liver function indexes,hepatitis B type distribution and HBV-DNA quantitative distribution;the physique of HBV carriers has certain correlation with psychological status,among which damp-heat tends to appear anxious mental state.Depressive mental state tends to appear in Qi-stagnation,Qi-deficiency and phlegm-dampness.

关 键 词：乙肝病毒携带者 中医体质 特征 心理状况 

分 类 号：R259[医药卫生—中西医结合]