体检人群脂肪肝中医证型特点及相关因素分析.pdf

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1、第16卷第7期辽宁中医药大学学报V01．16NO．72014年7月JOURNALOFLIAONINGUNIVERSITY0FTCMJu1．．2014D0I：10．13194~．issn．1673—842x．2014．07．075体检人群脂肪肝中医证型特点及相关因素分析周新兰。张晓一，任洪丽。(1．上海市公共卫生临床中心，上海201508；2．上海市曙光医院，上海201203；3．上海光华中西医结合医院，上海200052)摘要：目的：探索体检人群脂肪肝中医证型与临床因素的相互关系及中医证候的演变规律。方法：对所有病例进行辨

2、证分型，并分析各证型与年龄、性别、肥胖、生活习性、相关疾病、生化指标等危险因素的相关性。结果：脂肪肝无症状或轻微症状者占总数的66．6％，痰浊壅阻证(34．1％)和肝郁脾虚证(27．7％)在5个证型中占主导地位，男性患者痰浊壅阻证所占比例最大(36．2％)，而女性患者则以肝郁脾虚(39．4％)及肝肾不足证(27．3％)多见。痰瘀互结证多见于饮酒人群中。伴有高血压或糖尿病者以肝肾不足证最多见，伴有高脂血症或胆囊改变者以痰浊壅阻证及肝郁脾虚证为常见证型。结论：痰浊壅阻证和肝郁脾虚证为常见证型。不同年龄、性别、饮酒习惯及伴随疾

3、病间中医证型分布有差异。病机为本虚标实，本虚以脾肾为主，标实主要与气滞、痰湿、血瘀有关。关键词：脂肪肝；中医证型；流行病学；相关因素中图分类号：R575．5文献标志码：A文章编号：1673—842X(2014)07—0202—04EpidemicSurveyonTCMSyndromeTypingandAnalysisinRelatedCausesofFattyLiverinExaminationersZHOUXinlan，ZHANGXiaoyi，RENHongli(1．ShanghaiPublicHealthClinic

4、alCenter，Shanghai201508，China；2．ShanghaiShuguangHospital，Shanghai201203，China；3．ShanghaiGuanghuaHospitalofIntegratdedTraditionalChineseandWesternMedicine，Shanghai200052，China)Abstract：Obiective：ToinvestigatethecorrelationbetweenTCMsyndrometypingandclinicalfactors

5、basedonthebodyexaminationresultswithfattyliverandthetendencyofTCMsyndrome．inordert0directclinicaldiagnoseandtherapy．Method：SyndromesoffattylivercouldbetypedintothedifferentTCMtypes，andthenthecorrelationsofrelateddata(age，sex，fat，habitsandcustoms，relateddieases，li

6、verfunction，bloodlipids)wereanalyzedamongthesegroups．Result：Thepatientswithnosymptomswere66．6％inthisresearch．Phlegm—dampnessconglomerationgroupwas34．1％．Liver—depressionandspleendeficiencygroupwas27．7％．whichwasthemaintypesamongthefivegroups．Phlegm—dampnessconglome

7、rationwasthemaintypeamongmen(36．2％)．hutliver—depressionandspleendeficiencygroup(39．4％)andliver-kidneydeficiencygroup(27-3％)weremuchmoreamongwomen．Phlegmandblood-stasisincollateralswerecommonamongmenwhowerefondofliquor．Liver-kidneydeficiencygroupwasthemaintypeamon

8、gthepeoplewithhvpertensionordiabetes，butphlegm—dampnessconglomerationandliver—depressionandspleendeficiencywerethemaintypesamongthepeoplewithhyperlipidemiaorch