CAJ | 학술논문

目的：探讨脂肪肝患者超声分度与中医辨证分型的相关性。方法将2010～2012年体检过程中500例超声检查诊断为脂肪肝的患者按轻、中、重分为3组，同时请我院有经验的中医师，根据中医辨证将其分为肝郁气滞、痰湿内阻、痰瘀阻络3型，探讨脂肪肝患者超声分度与中医辨证分型的相关性。结果轻度脂肪肝以肝郁气滞型最常见，中度脂肪肝以痰湿内阻型为主，重度脂肪肝以痰瘀阻络型为主。结论将超声检查引入脂肪肝的中医辨证中，使辨证的内容更加丰富，为临床选方用药提供依据。
목적：탐토지방간환자초성분도여중의변증분형적상관성。방법장2010～2012년체검과정중500례초성검사진단위지방간적환자안경、중、중분위3조，동시청아원유경험적중의사，근거중의변증장기분위간욱기체、담습내조、담어조락3형，탐토지방간환자초성분도여중의변증분형적상관성。결과경도지방간이간욱기체형최상견，중도지방간이담습내조형위주，중도지방간이담어조락형위주。결론장초성검사인입지방간적중의변증중，사변증적내용경가봉부，위림상선방용약제공의거。
Objective To investigate the correlation of ultrasound graduation and TCM (Traditional Chinese Medicine) syndrome differentiation in fatty liver.Methods 500 patients who were diagnosed as fatty liver with ultrasound during the physical examination process from 2010 to 2012 were divided into mild group, moderate group and severe group. The pathological types of fatty liver were divided into liver Qi stagnation type, phlegm-dampness type and phlegm stagnation resistance type by experienced TCM practitioners according to TCM syndrome differentiation. Then the correlation between ultrasound graduation and TCM syndrome differentiation in fatty liver was analyzed.Results The main pathological type of mild group was liver Qi stagnation and the main pathological type of moderate group was phlegm-dampness while the the main pathological type of severe group was phlegm stagnation resistance.Conclusion The content of the syndrome differentiation is more abundant by integrating ultrasound into TCM syndrome differentiation, which can provide relevant evidences for clinical pharmacy selection.