CAJ | 학술논문

目的：探讨慢性乙肝中医证型与血常规检验指标的相关性。方法回顾性分析289例慢性乙肝患者临床资料，内容包括中医证型、血常规检验结果等，分析方法为查阅相关病历资料、询问当时医护人员及患者等，将所得资料进行统计学分析后得出结论。结果289例慢性乙肝患者中医证型与血常规检验结果对比可知，肝郁脾虚型慢性乙肝患者RBC、HGB水平最高，而肝肾阴虚型慢性乙肝患者WBC、PLT水平最高，对比结果具有统计学意义（P <0.05）4项指标可达正常水平。结论临床中医医生可利用中医证型与血常规检验结果相关性帮助判断慢性乙肝患者中医辨证分型结果，为今后对证治疗提供可靠依据，保障患者临床疗效及预后。
목적：탐토만성을간중의증형여혈상규검험지표적상관성。방법회고성분석289례만성을간환자림상자료，내용포괄중의증형、혈상규검험결과등，분석방법위사열상관병력자료、순문당시의호인원급환자등，장소득자료진행통계학분석후득출결론。결과289례만성을간환자중의증형여혈상규검험결과대비가지，간욱비허형만성을간환자RBC、HGB수평최고，이간신음허형만성을간환자WBC、PLT수평최고，대비결과구유통계학의의（P <0.05）4항지표가체정상수평。결론림상중의의생가이용중의증형여혈상규검험결과상관성방조판단만성을간환자중의변증분형결과，위금후대증치료제공가고의거，보장환자림상료효급예후。
Objective To investigate the correlation between TCM Syndrome Type and blood routine test index of chronic hepatitis B. Methods To retrospectively collect the clinical data of 289 chronic hepatitis B patients, including TCM syndrome types and routine blood test results, through reviewing the relevant medical records and consulting the staff and patients. The data obtained were statistically ana-lyzed. Results Compared with the patients with other TCM syndromes, the chronic hepatitis B patients with liver stagnation and spleen deficiency syndrome showed significantly higher HGB and RBC levels(P<0.05), those with liver-kidney yin deficiency syndrome showed significantly higher PLT and WBC levels (P <0.05). The average HGB and RBC or WBC and PLT levels in patients with the above two TCM syndromes all reached their normal ranges. Conclusion Clinical doctors of Chinese medicine can make use of the correlation be-tween TCM syndrome type and routine blood test results of the chronic hepatitis B patients, to accurately judge the TCM syndrome type, provide a reliable basis for future symptomic treatment, and ensure clinical efficacy and prognosis of patients with chronic hepatitis B.