摘要
目的分析急性胰腺炎(AP)患者中医体质分布特点,初步探讨AP患者常见中医体质类型与中医证型、病因之间的关系。方法纳入2016年1月—2019年12月在江苏省中医院普外科住院的AP患者250例,对其进行中医体质类型和中医证型判定。比较不同性别AP患者之间中医体质分布的差异,不同中医体质AP患者之间中医证型分布的差异及胆源性AP(BAP)、高脂血症性AP(HLAP)、酒精性AP(AAP)、特发性AP(IAP)、其他病因引起的AP患者之间中医体质分布的差异。结果 250例AP患者中痰湿质101例(40.4%)、湿热质59例(23.6%)、气郁质42例(16.8%)、气虚质21例(8.4%)、阴虚质9例(3.6%)、血瘀质7例(2.8%)、阳虚质6例(2.4%)、平和质4例(1.6%)、特禀质1例(0.4%)。男性AP患者128例,常见体质为痰湿质(37.5%)、湿热质(35.2%);女性AP患者122例,常见体质为痰湿质(43.4%)、气郁质(20.5%)。男性AP患者的湿热质比例高于女性AP患者(P<0.05)。250例AP患者中肝胆湿热证144例(57.6%)、腑实热结证48例(19.2%)、肝郁气滞证43例(17.2%)、瘀毒内结证14例(5.6%)、内闭外脱证1例(0.4%)。痰湿质AP患者中肝胆湿热证(74.3%)最多;湿热质AP患者中肝胆湿热证(72.9%)最多;气郁质AP患者以肝郁气滞证(69.0%)最常见;气虚质AP患者主要为腑实热结证(57.1%)。BAP患者以痰湿质(48.3%)最常见;HLAP患者中痰湿质(62.8%)最多;APP患者中湿热质(75.0%)占首位;IAP患者主要为气郁质(46.2%)和气虚质(42.3%)。结论 AP患者中痰湿质中医体质最多见,AP患者的中医体质与中医证型之间存在相似性,不同性别AP患者的中医体质类型比例存在差异,不同病因AP患者的中医体质类型结构有区别。
Objective To analyze the characteristics of Chinese medicine(CM) constitutions distributionss in patients with acute pancreatitis(AP), and to preliminarily explore the relationship between common CM constitution types and CM syndrome types and etiology of AP patients. Methods Totally 250 AP inpatients at the General Surgery Department, Jiangsu Provincial Hospital of Traditional Chinese Medicine from January 2016 to December 2019 were enrolled, and they were judged for their CM constitutions and CM syndrome types. The differences in the distributions of CM constitutions among AP patients in different genders were compared. The differences in the distribution of CM syndrome types between AP patients with different CM constitutions were compared. Differences in the physical distribution of CM were compared as well in biliary AP(BAP), hyperlipidemia AP(HLAP), alcoholic AP(AAP), idiopathic AP(IAP),and other causes induced AP patients. Results Among 250 AP patients, there were 101 with phlegm-damp syndrome(40.4%), 59 with damp-heat syndrome(23.6%), 42 with qi stagnation syndrome(16.8%), 21 with qi deficiency syndrome(8.4%), and 9 with yin deficiency syndrome(3.6%), 7 with blood stasis syndrome(2.8%), 6 with yang deficiency syndrome(2.4%), 4 with calm syndrome(1.6%), and 1 with idiosyncratic syndrome(0.4%). There were 128 male AP patients, and the common constitutions were phlegm-dampness syndrome(37.5%) and damp heat syndrome(35.2%). There were 122 female AP patients, and the common constitutions were phlegm-dampness syndrome(43.4%) and qi depression syndrome(20.5%). The proportion of damp-heat syndrome in male AP patients [35.2%(45/128)] was higher than that of female AP patients [11.5%(14/122), P<0.05]. Among the 250 AP patients, there were 144 cases(57.6%) with Gan-Dan damp-heat syndrome, 48 cases(19.2%) with Fuorgans heat accumulation syndrome, 43(17.2%) with Gan-qi stagnation syndrome(17.2%), and 14(5.6%) with inner accumulation of toxic syndrome, 1(0.4%) with internal closure and external exclusion. Gan-Dan damp-
作者
王倩倩
周健
江志伟
龚冠闻
WANG Qian-qian;ZHOU Jian;JIANG Zhi-wei;GONG Guan-wen(Department of Pre-treatment,Affiliated Hospital of Nantong University of Traditional Chinese Medicine,Jiangsu,226001;Department of General Surgery,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing,210001)
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2021年第8期917-921,共5页
Chinese Journal of Integrated Traditional and Western Medicine
基金
国家自然科学基金资助项目(No.81704083)
南京市科技委面上项目(No.201715005)。
关键词
急性胰腺炎
中医体质
中医证型
病因
acute pancreatitis
Chinese medicine constitution
Chinese medicine syndrome
etiology
