乙型肝炎合并肝硬化患者中医证型与腹部超声特征相关性分
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R575.2

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Correlation Analysis of Chinese Medicine Syndrome Types and Abdominal Ultrasonic Features in Patients with Hepatitis B Complicated with Liver Cirrhosis
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    摘要:

    目的:分析乙型肝炎合并肝硬化患者中医证型与腹部超声特征的相关性。方法:选取150例乙型肝炎合并肝硬化患者,依据中医证型进行分组,比较不同证型的超声图像表现特征及血流动力学参数。结果:肝气郁结证组、脾虚湿盛证组、湿热内蕴证组的肝左叶上下径显著长于瘀血阻络证组(P<0.05),瘀血阻络证组的脾长径与后径显著长于其它证型(P<0.05)。肝肾阴虚证组、脾肾阳虚证组、瘀血阻络证组的门静脉内径显著大于湿热内蕴证组(P<0.05),肝气郁结证组的门静脉平均血流速度显著大于瘀血阻络证组(P<0.05)。6组的肝静脉内径及肝静脉平均血流速度比较,差异无统计学意义(P>0.05)。肝气郁结证组、脾肾阳虚证组、瘀血阻络证组的胆壁毛糙比例显著低于湿热内蕴证组(P<0.05);湿热内蕴证组的腔内回声不均比例显著高于其它5组(P<0.05);肝气郁结证组、脾虚湿盛证组、湿热内蕴证组的形态比例失调、被膜锯齿状、弥漫回声增高比例均低于肝肾阴虚证组、脾肾阳虚证组、瘀血阻络证组(P<0.05)。结论:乙型肝炎合并肝硬化患者的中医证型随着病情发展呈现变化,且其超声特征、血流动力学参数与中医证型具有一定相关性,其可为临床评估病情提供一定依据。

    Abstract:

    Abstract:Objective:To discuss and analyze the correlation between Chinese medicine syndrome types and abdominal ultrasonic features in patients with hepatitis B complicated with liver cirrhosis. Methods:A total of 150 cases of patients with hepatitis B complicated with liver cirrhosis were selected and divided into different groups according to Chinese medicine syndrome types. The features of ultrasonic image and hemodynamic indexes were compared between different syndrome types. Results: The longitudinal diameters of left lobe of the liver in patients with liver qi depression syndrome group, spleen deficiency and exuberant dampness syndrome group,and internal dampness- heat retention syndrome group were significantly longer than that in the blood stasis obstructing the collateral syndrome group(P<0.05); the length and the posterior diameter of spleen in the blood stasis obstructing the collateral syndrome group were significantly longer than those in the other syndrome types(P<0.05). The diameters of portal vein in the liver- kidney yin deficiency syndrome group,the spleen- kidney yang deficiency syndrome group and the blood stasis obstructing the collateral syndrome group were significantly larger than that in the internal dampness- heat retention syndrome group(P<0.05); the mean flow velocity of portal vein in the liver qi depression syndrome group was significantly larger than that in the blood stasis obstructing the collateral syndrome group(P<0.05). There was no significant difference being found in the comparison of the diameter and mean flow velocity of portal vein among the six groups(P<0.05). The proportions of rough gallbladder wall in the liver qi depression syndrome group, the spleen- kidney yang deficiency syndrome group and the blood stasis obstructing the collateral syndrome group were significantly lower than that in the internal dampness- heat retention syndrome group(P<0.05);the proportion of intracavitary inhomogeneous echoes in the internal dampness- heat retention syndrome group was significantly higher than those in the other five groups(P<0.05);the proportions of disproportion of shape,serrated capsule and increasing diffuse echo in the liver qi depression syndrome group, the spleen deficiency and exuberant dampness syndrome group and the internal dampness-heat retention group were significantly lower than those in the other three groups (P<0.05). Conclusion:In patients with hepatitis B complicated with liver cirrhosis,their Chinese medicine syndrome types will change as the diseases develop. There is a certain correlation between Chinese medicine syndrome types and ultrasonic features as well as hemodynamic indexes,which can provide some basis for the clinical evaluation of the disease.

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房訾晴,陈婷.乙型肝炎合并肝硬化患者中医证型与腹部超声特征相关性分[J].新中医,2020,52(11):188-191

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  • 在线发布日期: 2020-06-04
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