西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
11期
72-74
,共3页
慢性乙型重型肝炎%黄疸%证型%γ-GLO%AFP%CHE
慢性乙型重型肝炎%黃疸%證型%γ-GLO%AFP%CHE
만성을형중형간염%황달%증형%γ-GLO%AFP%CHE
chronic severe hepatitis B%jaundice%patterns%γ-GLO%AFP%CHE
目的：观察慢性乙型重型肝炎黄疸中医证型与血清γ-GLO、AFP、CHE的相关性。方法：将160例黄疸患者行中医辨证分型并进行血清γ-GLO、AFP、CHE检测。结果：常见的证型依次为湿热发黄证、瘀热发黄证、气虚瘀黄证、复合证型，γ-GLO水平与4证型组关系依次为：湿热发黄证组＜瘀热发黄证组＜复合证型＜气虚瘀黄证组，AFP：湿热发黄证组＞瘀热发黄证组＞复合证型组＞气虚瘀黄证组，CHE：湿热发黄证组＞瘀热发黄证组＞气虚瘀黄证组＞复合证型组。湿热组与瘀热组比较γ-GLO、AFP、CHE水平差异有统计学意义(P＜0.05)，湿热组、瘀热组分别与其余2组两两比较差异有统计学意义(P＜0.01)，气虚组与复合组比较无差异(P＞0.05)。结论：血清γ-GLO、AFP、CHE 对于判断慢性乙型重型黄疸中医证型、病情、辨别疾病所处阶段具有重要意义。
目的：觀察慢性乙型重型肝炎黃疸中醫證型與血清γ-GLO、AFP、CHE的相關性。方法：將160例黃疸患者行中醫辨證分型併進行血清γ-GLO、AFP、CHE檢測。結果：常見的證型依次為濕熱髮黃證、瘀熱髮黃證、氣虛瘀黃證、複閤證型，γ-GLO水平與4證型組關繫依次為：濕熱髮黃證組＜瘀熱髮黃證組＜複閤證型＜氣虛瘀黃證組，AFP：濕熱髮黃證組＞瘀熱髮黃證組＞複閤證型組＞氣虛瘀黃證組，CHE：濕熱髮黃證組＞瘀熱髮黃證組＞氣虛瘀黃證組＞複閤證型組。濕熱組與瘀熱組比較γ-GLO、AFP、CHE水平差異有統計學意義(P＜0.05)，濕熱組、瘀熱組分彆與其餘2組兩兩比較差異有統計學意義(P＜0.01)，氣虛組與複閤組比較無差異(P＞0.05)。結論：血清γ-GLO、AFP、CHE 對于判斷慢性乙型重型黃疸中醫證型、病情、辨彆疾病所處階段具有重要意義。
목적：관찰만성을형중형간염황달중의증형여혈청γ-GLO、AFP、CHE적상관성。방법：장160례황달환자행중의변증분형병진행혈청γ-GLO、AFP、CHE검측。결과：상견적증형의차위습열발황증、어열발황증、기허어황증、복합증형，γ-GLO수평여4증형조관계의차위：습열발황증조＜어열발황증조＜복합증형＜기허어황증조，AFP：습열발황증조＞어열발황증조＞복합증형조＞기허어황증조，CHE：습열발황증조＞어열발황증조＞기허어황증조＞복합증형조。습열조여어열조비교γ-GLO、AFP、CHE수평차이유통계학의의(P＜0.05)，습열조、어열조분별여기여2조량량비교차이유통계학의의(P＜0.01)，기허조여복합조비교무차이(P＞0.05)。결론：혈청γ-GLO、AFP、CHE 대우판단만성을형중형황달중의증형、병정、변별질병소처계단구유중요의의。
Objective:To survey the correlation between TCM patterns of jaundice and serum γ-GLO, AFP, CHE in the patients with chronic severe hepatitis B. Methods:All 160 patients were differentiated and classified;the levels ofγ-GLO, AFP and CHE were detected. Results:Common patterns in turn were damp-heat jaundice pattern, stagnant heat jaundice pattern, Qi-deficiency stagnant yellowing pattern and complicated pattern, the relation be-tweenγ-GLO and four patterns were:damp-heat jaundice pattern group<stagnant heat jaundice pattern group<com-plicated pattern group<Qi-deficiency stagnant yellowing pattern group, AFP patterns: damp-heat jaundice pattern group>stagnant heat jaundice pattern group>complicated pattern group>Qi-deficiency stagnant yellowing pattern group, CHE patterns in sequence:damp-heat jaundice pattern group>stagnant heat jaundice pattern group>Qi-defi-ciency stagnant yellowing pattern group>complicated pattern group. The difference indicated statistical meaning between damp-heat group and stagnant heat group inγ-GLO, AFP and CHE(P<0.05);the differences demonstrated statistical meaning when damp-heat group and stagnant heat group were compared with other two groups respective-ly(P<0.01); the difference had no statistical meaning when Qi-deficiency goup was compared with complicated group(P>0.05). Conclusion:γ-GLO, AFP and CHE are significant to judge TCM patterns, the conditions and distin-guish the stages of chronic severe hepatitis B.
