摘要
目的研究重庆市慢性乙型肝炎病毒携带者的中医症状及证候。方法 303例重庆市慢性乙型肝炎病毒携带者,填写调查表,调查内容包括中医症状、证候、乙肝标志物。结果中医症状出现率在50%以上的有3项,40%～50%(不含50%)有1项,30%～40%(不含40%)有6项,20%～30%(不含30%)有6项,10%～20%(不含20%)有7项,10%以下(不含10%)有2项。7种证候分布为肝气郁结证(41.25%)、无证可辨(17.82%)、湿热内蕴证(13.86%)、脾虚湿盛证(10.23%),脾肾阳虚证(9.90%)、血瘀证(4.62%)、肝肾阴虚证(2.31%)。慢性乙型肝炎病毒携带者中HBeAg阳性湿热内蕴证的比例较HBeAg阴性高,HBeAg阴性脾虚湿盛证及血瘀证所占比例明显高于HBeAg阳性者,经χ2检验均有统计学意义。结论慢性乙型肝炎病毒携带者症状以脘腹部及精神症状为主。中医证候以肝气郁结证最多,涉及的脏腑以肝为主,脾脏次之,肾脏涉及较少。HBeAg阳性乙肝携带者与HBeAg阴性乙肝携带者的证候分布存在显著性差异。
Objective： To investigate the TCM symptoms and syndromes of chronic hepatitis B virus carriers in Chongqing area. Methods： TCM symptoms,syndromes and HBV markers of chronic hepatitis B virus carriers were studied by analyzing questionnaire table. Results： 3 TCM symptoms appeared in 50% of the carriers, 1 in 40%-50% ,6 in 20%-30% ,7 in 10%-20% ,2 in 10% ,respectively. There were 7 syndromes distribution among the carriers with 41.25% of TCM stagnation of liver-qi syndromes, 17.82% of unlicensed discernible TCm symdrome, 13.86% of endoretention of damp, 10.23% of spleen deficiency and damp trap,9.90% of kidney-Yang and spleen-Yang deficiency,4.62% of stagnant-blood,：2.31% of liver-Yin and kidney-Yang deficiency, respectively. TCM syndrome endoretention of damp beat was presented with higher ftrquency in chronic HBeAg positive carriers than that in chronic HBeAg negative carriers. However, TCM syndrome spleen deficiency and damp trap and stagnant-blood were much more common in chronic HBeAg negative carriers, which had statistic difference by χ^2 test. Conclusion： The TCM symptoms of chronic HBV carriers are presentd in stomach and belly,also in mental area,and stagnation of liver-qi was the major TCM syndreme,which is related most in liver,second in spleen. Kidney is seldom related. These are obvious differences of TCM symptoms and syndromes between chronic HBeAg postive and negative carriers.
出处
《中国中医急症》
2014年第7期1256-1257,1260,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
重庆市卫生局中医药科技项目(2011-2-35)
