CAJ | 학술논문

目的：通过对酒精性肝硬化患者中的湿热体质、血瘀体质两种主要体质类型进行中西医结合治疗，判断同种治疗方法对酒精性肝硬化不同体质营养状况的改善情况。方法：通过计算136例酒精性肝硬化患者《中医体质量表》得分情况，统计酒精性肝硬化患者136例中医体质分布，分析其中主要的体质类型即湿热体质、血瘀体质患者的营养状况，包括测定体重指数、三头肌皮褶厚度（triceps skin fold， TSF）、上臂肌围（mid-arm muscle circumference， MAMC）及上臂围（ mid-arm circumference ， MAC）、血液白蛋白、淋巴细胞总数，对数据结果进行统计分析，比较其差异，均予以黄连解毒汤为主方进行中西医结合治疗，分析治疗前后营养状况差异情况。结果：酒精性肝硬化出现频率较高的中医体质为湿热体质、血瘀体质，经相同的中西医结合治疗后，湿热体质与血瘀体质部分营养状况有所改善，其差异具有统计学意义。结论：尽管同为酒精性肝硬化，但患者因为体质状态的不同（湿热体质状态；血瘀体质状态），经相同的治疗后，其营养状况的改善也有所不同，其差异具有统计学意义，表明辨识体质进行更有针对性的个体化治疗有助于提高治疗效果。
목적：통과대주정성간경화환자중적습열체질、혈어체질량충주요체질류형진행중서의결합치료，판단동충치료방법대주정성간경화불동체질영양상황적개선정황。방법：통과계산136례주정성간경화환자《중의체질량표》득분정황，통계주정성간경화환자136례중의체질분포，분석기중주요적체질류형즉습열체질、혈어체질환자적영양상황，포괄측정체중지수、삼두기피습후도（triceps skin fold， TSF）、상비기위（mid-arm muscle circumference， MAMC）급상비위（ mid-arm circumference ， MAC）、혈액백단백、림파세포총수，대수거결과진행통계분석，비교기차이，균여이황련해독탕위주방진행중서의결합치료，분석치료전후영양상황차이정황。결과：주정성간경화출현빈솔교고적중의체질위습열체질、혈어체질，경상동적중서의결합치료후，습열체질여혈어체질부분영양상황유소개선，기차이구유통계학의의。결론：진관동위주정성간경화，단환자인위체질상태적불동（습열체질상태；혈어체질상태），경상동적치료후，기영양상황적개선야유소불동，기차이구유통계학의의，표명변식체질진행경유침대성적개체화치료유조우제고치료효과。
Objective: To compare the nutritional status of patients with alcoholic liver cirrhosis based on different TCM constitution, investigate the relationship between improvement of nutritional status and different body constitution .Methods: To distinguish different types of TCM constitution by constitution survey scales , analyzing nutritional status distribution characteris-tics of 136 cases of patients with alcoholic liver cirrhosis , different constitution were evaluated with various indexes , including body mass index ( BMI ) , triceps skin fold ( TSF ) , mid-arm muscle circumference ( MAMC ) , mid-arm circumference ( MAC) , peripheral blood lymphocyte count ( LYM ) , serum albumin ( Alb) .Conventional therapy and Huanglianjiedu de-coction to be applied according to the symptoms judgment of traditional Chinese medicine.Results: Alcoholic liver cirrhosis pa-tients had higher frequency on the damp-heat constitution , blood-stasis constitution , There were significant differences among the nutritional status of alcoholic liver cirrhosis with different body constitution , part of the nutritional status of targeted interventions improved after treatment , the difference was statistically significant.Conclusion: The nutritional status in patients with alcoholic liver cirrhosis will be different because of body constitution , the effect of traditional Chinese medicine and the physical condition of the relevant correspondence.