脂肪肝中医证型与性别、职业、年龄相关性分析

目的探讨脂肪肝中医证型与性别、职业、年龄的相关性。方法选取2012年7~12月就诊的脂肪肝患者263例,进行中医辨证分型。流行病问卷调查患者性别、年龄、职业、症状、体征等信息,并对结果进行分析。结果各证型的发病率依次为脾虚湿滞型、湿热困脾型、肝郁脾虚型,脂肪肝的发病年龄主要集中于41~60岁,不同性别、年龄脂肪肝患者中医证型分布无显著性差异。肝郁脾虚型患者多见于无业及退休人员,脾虚湿滞型患者多见于脑力劳动者,湿热困脾型患者分布于各职业类别中。结论脾虚湿滞型是脂肪肝的常见证型,41~60岁是脂肪肝发病的高峰期,脂肪肝的中医证型与职业存在一定的相关性。

Correlation analysis of TCM syndrome pattern and sex,occupation, age in fatty liver patients

Objective To discuss the correlation between TCM syndrome pattern and sex,occupation as well as age in fatty liver patients. Methods The 263 case of patients with fatty liver were collected from July to December 2012, and the correlation of TCM syndrome pattern and sex, occupation, age were analyzed. Results The incidence of Chinese Medical Pattern were dampness stagnancy due to spleen deficiency, damp-heat besieging in the spleen, liver depres- sion and spleen defficiency, the onset age of fatty liver mainly concentrated from 41 to 60 years old, there was no sig- nificant difference between TCM syndrome type distribution in different gender and age, fatty liver patients. The pa- tients with liver depression and spleen deficiency were more common in unemployed or retired persons, while the pa- tients with dampness stagnancy due to spleen deficiency were more common in mental persons. The patients with damp-heat besieging in the spleen were more common in every occupational category. Conclusion The dampness stag- nancy due to spleen deficiency was the common type of fatty liver. From 41 to 60 years old was the peak of the dis- ease.There have same internal relationships between the occupation of fatty liver and TCM syndrome differentiation.