浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2014年
3期
277-279
,共3页
陈丹丹%朱肖鸿%周萍%裘滨滨%孙慧伶%王树民
陳丹丹%硃肖鴻%週萍%裘濱濱%孫慧伶%王樹民
진단단%주초홍%주평%구빈빈%손혜령%왕수민
乙型肝炎%慢性%病理组织纤维化%中医证型
乙型肝炎%慢性%病理組織纖維化%中醫證型
을형간염%만성%병리조직섬유화%중의증형
hepatitis B%chronic%pathological tissue fibrosis%TCM syndrome type
[目的]分析慢性乙型肝炎(以下简称为慢乙肝)患者肝组织病理特点与中医证型的分布规律,为中医证型运用于判断慢乙肝纤维化程度提供客观材料。[方法]选取2011年11月至2013年3月浙江中医药大学第一附属医院及丽水市人民医院感染科住院的310例慢乙肝患者,监测肝组织病理活检肝纤维化指标,观察上述指标与中医辨证分型的关系。[结果]310例慢乙肝以肝郁脾虚型居多,其次为湿热中阻型、肝肾阴虚型、脾肾阳虚型、瘀血阻络型。而肝郁脾虚型、湿热中阻型、肝肾阴虚型、脾肾阳虚型都以S2期纤维化为主,瘀血阻络型以纤维化S4期为主;212例轻型慢性乙型病毒性肝炎患者肝郁脾虚、湿热中阻相对平和质在纤维化≥S2间具有差异,并具有统计学意义(P<0.05)。[结论]慢乙肝患者肝组织病理及中医证型分布具有一定规律性;中医证型与客观的肝组织病理变化具有相关性。
[目的]分析慢性乙型肝炎(以下簡稱為慢乙肝)患者肝組織病理特點與中醫證型的分佈規律,為中醫證型運用于判斷慢乙肝纖維化程度提供客觀材料。[方法]選取2011年11月至2013年3月浙江中醫藥大學第一附屬醫院及麗水市人民醫院感染科住院的310例慢乙肝患者,鑑測肝組織病理活檢肝纖維化指標,觀察上述指標與中醫辨證分型的關繫。[結果]310例慢乙肝以肝鬱脾虛型居多,其次為濕熱中阻型、肝腎陰虛型、脾腎暘虛型、瘀血阻絡型。而肝鬱脾虛型、濕熱中阻型、肝腎陰虛型、脾腎暘虛型都以S2期纖維化為主,瘀血阻絡型以纖維化S4期為主;212例輕型慢性乙型病毒性肝炎患者肝鬱脾虛、濕熱中阻相對平和質在纖維化≥S2間具有差異,併具有統計學意義(P<0.05)。[結論]慢乙肝患者肝組織病理及中醫證型分佈具有一定規律性;中醫證型與客觀的肝組織病理變化具有相關性。
[목적]분석만성을형간염(이하간칭위만을간)환자간조직병리특점여중의증형적분포규률,위중의증형운용우판단만을간섬유화정도제공객관재료。[방법]선취2011년11월지2013년3월절강중의약대학제일부속의원급려수시인민의원감염과주원적310례만을간환자,감측간조직병리활검간섬유화지표,관찰상술지표여중의변증분형적관계。[결과]310례만을간이간욱비허형거다,기차위습열중조형、간신음허형、비신양허형、어혈조락형。이간욱비허형、습열중조형、간신음허형、비신양허형도이S2기섬유화위주,어혈조락형이섬유화S4기위주;212례경형만성을형병독성간염환자간욱비허、습열중조상대평화질재섬유화≥S2간구유차이,병구유통계학의의(P<0.05)。[결론]만을간환자간조직병리급중의증형분포구유일정규률성;중의증형여객관적간조직병리변화구유상관성。
[Objective]Analysis of chronic hepatitis B(hereinafter referred to as b) distribution in liver tissue pathology and TCM syndrome type, provide the objective material to determine the chronic hepatitis B fibrosis degree of TCM use. [Method] From 2011 November to 2013 March in Zhejiang Chinese Medicine University First Affiliated Hospital and Lishui People's Hospital hospital infection 310 cases of patients with chronic hepatitis B, monitoring the liver biopsy and liver fibrosis indexes, to investigate the relationship between the above indexes and the TCM syndrome types. [Results] 310 cases of chronic hepatitis B with liver stagnation and spleen deficiency type, are fol owed by the damp heat type, liver kidney yin deficiency, spleen kidney yang deficiency, blood stasis type. And liver stagnation and spleen deficiency type, damp heat type, liver kidney yin deficiency, spleen kidney yang deficiency type are of mainly stage S2 fibrosis, blood stasis blocking col ateral type in fibrosis stage S4; 212 cases of mild chronic hepatitis B patients with liver qi stagnation and spleen deficiency, damp heat group relatively flat and vitrinite in fibrosis≥S2 have differences, with statistical significance. [Conclusion] Pathology and TCM syndrome type distribution in liver tissue of patients with chronic hepatitis B have some regularity; TCM syndrome type has correlation with the pathologic change of liver tissue objective.