慢性胆囊炎中医证候研究

目的探讨不同因素与慢性胆囊炎发病的关系,揭示慢性胆囊炎的中医证型分布规律。方法采用流行病学调查方法 ,选择确诊为慢性胆囊炎患者200例,填写临床观察表,运用统计学方法分析慢性胆囊炎的中医病因、发病特点、症状分布特点,及中医证型分布的规律和不同因素与证型分布的关系。结果年龄、性别在慢性胆囊炎的发病分布上差异无统计学意义(P0.05)。慢性胆囊炎中医证型分布为肝胃郁热证型33%,肝胃气滞型26%,肝胆湿热型19%,肝气郁滞型14%,肝阴不足型8%。不同性别、年龄、职业、文化水平、是否伴胆囊结石在慢性胆囊炎的证型分布中差异无统计学意义(P0.05)。通过对出现频率最高的20个症状进行聚类分析,与频数分析得出的患者中医证候分布结果大体一致。结论年龄、性别与慢性胆囊炎的发病无关。慢性胆囊炎的中医证型分布以肝胃郁热证和肝胃气滞证为多见;性别、年龄、职业、文化水平及是否伴胆囊结石与中医证型分布无关。

Study on TCM Syndromes of Chronic Cholecystitis

Objective To study the relationship between the different factors and the pathogenicity of chronic cholecystitis, and reveal the distribution pattern of TCM syndromes of chronic cholecystitis. Method Two hundred cases of chronic cholecystitis was selected by epidemiological method, the form of clinical observation was fiUed and TCM causes of chronic cholecystitis, characteristics and symptoms distribution, TCM syndrome type distribution pattern, the relationship between different factors and the type distribution were analyzed by statistical methods. Result There were no statistical significance in age and sex of incidence of chronic cholecystitis （P 〉0.05）. TCM syndromes distribution of chronic cholecystitis was syndrome of stagnated heat in liver and stomach 33%, syndrome of qi stagnation in liver and stomach 26%, syndrome of dampness and heat in liver and gallbladder 19%, syndrome of liver qi stagnation 14%, deficiency syndrome of liver yin 8%. There were no difference in sex, age, occupation, educational level, whether or not associated with galistones in syndromes distribution of patients with chronic cholecystitis （P〉0.05）. The cluster analysis of 20 most frequent symptoms was consistent with the frequency analysis in TCM syndrome distribution. Conclusion Age, sex has no relation with the incidence of chronic cholecystitis. TCM syndromes of stagnated heat in liver and stomach and qi stagnation in liver and stomach of chronic cholecystitis are more common. Sex, age, occupation, educational level and whether or with gallbladder stone has no relation with the distribution of TCM syndromes.