酒精性肝病患者中医体质分布特点及证型分布研究

目的 研究分析酒精性肝病(ALD)患者中医体质分布特点,以及不同中医体质的证型分布情况研究.方法 收集2016-03—2020-03就诊的ALD门诊(100例)或住院(71例)患者,记录患者的性别、年龄、日折合乙醇量及ALD具体诊断情况,通过填写《中医体质分类与判定自测表》判定患者的中医体质,通过望、闻、问、切四诊资料...

Study on the distribution characteristics of traditional Chinese medicine constitution and syndrome types in patients with alcoholic liver disease

Objective To study on the distribution characteristics of traditional Chinese medicine constitution and different syndrome types in patients with alcoholic liver disease.Methods Gender,age,daily equivalent of ethanol,as well as specific diagnosis in ALD were collected form 171 patients who were treated in our hospital from March 2016 to March 2020."Classification and Judgment Self-Test Table of TCM Constitution"was filled to determine TCM constitution in those patients,the four TCM methods,such as looking,listening,asking and feeling,were used to judge TCM constitution in ALD patients,aiming to study the distribution characteristics of TCM constitution,and analyze the correlation between TCM constitution and syndrome types.Results The TCM constitution in all these patients,the damp-heat type TCM constitution was the most distributed,with 82 cases accounting for 48.0%(82/171);of which most of the gender were male,with a total of 151 cases,accounting for 88.3%(151/171);and most of aged were 40~59 years old,with a total of 127 cases,accounting for 74.3%(127/171);the daily equivalent of ethanol was mostly 120~159 g/d,with a total of 69 cases accounted for 40.4%(69/171);the mostly specific diagnosis in ALD were alcoholic cirrhosis,with 121 cases accounting for 70.8%(121/171),and the TCM constitutions in those patients were all manifested as damp-heat type.The TCM syndrome in all these patients,the gallbladder damp-heat syndrome was the most distributed,with a total of 107 cases accounting for 62.6%(107/171);of which there were significant differences in TCM syndrome distribution in damp-heat constitution,blood stasis constitution,phlegm-dampness constitution,yin deficiency constitution,yang deficiency constitution,and balanced constitution(P<0.05);these TCM physiques are manifested as the following TCM syndrome manifestations:damp-heat constitution,phlegm damp constitution,and balanced constitution all as gallbladder damp-heat syndrome;blood stasis as phlegm stasis block syndrome;yin deficiency constitution as liver-kidney yin deficiency syndrome;and yang deficiency constitution as spleen-kidney yang deficiency syndrome.Conclusion The TCM constitution in ALD patients is mainly male,aged with 40~59 years old,daily equivalent ethanol amount with 120~159 g/d,with the stage of alcoholic cirrhosis.There is a correlation between TCM constitution and TCM syndrome.The damp-heat constitution,phlegm-dampness constitution and balanced constitution are related to gallbladder damp-heat syndrome,blood stasis constitution was related to syndrome of phlegm stasis block syndrome,yin deficiency constitution was related to liver-kidney yin deficiency syndrome,yang deficiency constitution was related to spleen-kidney yang deficiency syndrome.