摘要
目的:研究甲亢性肝病中医证型与血清谷丙转氨酶(ALT)、碱性磷酸酶(ALP)、总胆汁酸(TBA)水平和临床预后的关系。方法:选择60例甲亢性肝病患者,依据中医证型分为肝郁痰凝、肝火亢盛、阴虚火旺、气阴两虚,比较不同中医辨证分型的甲亢性肝病患者血清ALT、ALP、TBA水平的差异并观察并发症发生情况。结果:不同中医证型中,阴虚火旺、气阴两虚型较肝郁痰凝、肝火亢盛型升高较为明显,且并发症发生率高于肝郁痰凝、肝火亢盛型,差异具有统计学意义(P<0.05)。结论:针对甲亢性肝病患者,肝功能指标异常与中医证型、临床预后明显相关,临床医师应尽早诊断并治疗,减轻肝功能损伤,改善患者预后。
Objective:To study the relationship between TCM syndrome types and serum ALT,ALP and TBA levels and clinical prognosis in patients with hyperthyroid liver disease.Methods:60 patients with hyperthyroidism were divided into liver qi stagnation phlegm coagulation,liver fire hyperactivity,yin deficiency fire and deficiency of Qi and Yin,and the difference of serum ALT,ALP and TBA levels in patients with hyperthyroidism in different types of TCM syndrome differentiation were compared and the occurrence of complications was observed.Results:In different TCM syndrome types,the type of yin deficiency,Qi and yin deficiency was more obvious than liver qi stagnation and liver fire hyperactivity,and the incidence of complications was higher than that of liver depression and phlegm coagulation and liver fire hyperactivity.The difference was statistically significant(P<0.05).Conclusion:For patients with hyperthyroidism liver disease,abnormal liver function index is closely related to TCM syndrome type and clinical prognosis.Clinicians should diagnose and treat the liver function as early as possible to alleviate liver function damage and improve the prognosis of patients.
作者
马敬花
李小毓
常晓
MA Jinghua;LI Xiaoyu;CHANG Xiao(Nanyang Zhangzhongjing Hospital in Henan Province,Nanyang 473000)
出处
《陕西中医》
2019年第10期1380-1382,共3页
Shaanxi Journal of Traditional Chinese Medicine
关键词
甲亢性肝病
肝功能
中医证型
预后
谷丙转氨酶
碱性磷酸酶
总胆汁酸
Hyperthyroid liver disease
Liver function
TCM syndrome type
Prognosis
Alanine aminotransferase
Alkaline phosphatase
Total bile acid
