肝功能衰竭中医证素分布研究

目的探讨肝功能衰竭中医证素特征,以便于对肝功能衰竭进行更有效的中医药干预。方法自行设计调查表,对300例肝功能衰竭患者的临床资料进行回顾性调查分析。结果肝功能衰竭病位在肝胆,主要病及脾胃,中医证素总体分布湿热为多见,其次为血瘀、气滞、气虚、湿阻、阴虚、阳虚、寒湿、痰浊等。急性肝功能衰竭患者以湿热、亡阴、亡阳为多;亚急性肝功能衰竭患者以湿热、痰浊、气滞为多;慢加急性(亚急性)肝功能衰竭以湿热、血瘀、气虚为多;慢性肝功能衰竭患者以血瘀、气虚、阴虚、湿阻为多。结论急性及亚急性肝功能衰竭以多以实证为主,慢加急性(亚急性)肝功能衰竭及慢性肝功能衰竭为虚实夹杂。

Research on syndrome key factors distribution of patients with liver failure

Objective To discuss the character of the syndrome key factors of liver failure is good for improving the Chinese medicine intervention of liver failure.Methods The date of 300 cases with hepatic failure patients were retrosepcively analyzed by using a self-made inventory.Results The pathological location of hepatic failure is liver and gallbladder,and then impacted the spleen and the stomach.The most common syndrome factors of the Chinese medicine is humid type,followed by blood stasis,qi stagnation,qi deficiency,dampness,yin deficiency,yang deficinecy,cold dampness and phlegm etc.dampness,yin depletion,yang depletion were mainly seen in acute liver failure patients;dampness,phlegm,qi deficiency were mainly seen in subacute liver failure patients;dampness,blood stasis,qi deficiency were mainly seen in acute on chronic liver failure patients;blood stasis,qi deficiency,yin deficiency,dampness were mainly seen in chronic liver failure patients.Conclusion Acute liver failure and subacute liver failure are mainly excess syndromes,subacute liver failure and acute on chronic liver failure are mingled with excess and deficiency syndromes.