酒精性肝硬化中医证候回顾性研究

Chinese Journal of Integrated Traditional and Western Medicine on Digestion(2020)

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Abstract
[目的]探讨酒精性肝硬化的中医证候学特点.[方法]回顾性总结分析我院2017年1月~2018年1月就诊酒精性肝硬化患者2 764例的临床特点,其中男2 742例,女22例.收集患者性别、年龄、症状、体征、中西医诊断资料,通过描述性和方差分析统计学方法,探讨酒精性肝硬化证候特点.[结果]①酒精性肝硬化患者好发年龄段为50~59岁,占53.33%,与其他病因所致肝硬化患者相比,酒精性肝硬化患者男性占绝大多数(99.20%).②酒精性肝硬化证型分布为气虚血瘀证占33.94%,肝胆湿热证占20.98%,肝郁脾虚证占15.30%,气滞血瘀证占9.66%,脾虚湿滞证占6.80%,痰湿瘀滞证占3.37%,水湿内阻证占2.57%,肝肾阴虚证占2.42%,湿热蕴结证占1.70%,脾肾阳虚证占1.12%,气阴两虚证占0.98%,肝气郁结证占0.62%,瘀血阻络证占0.54%.[结论]①酒精性肝硬化患者以中老年男性为主,与病因形成有密切关系.②酒精性肝硬化中医证候按照构成比依次为气虚血瘀证、肝胆湿热证、肝郁脾虚证、气滞血瘀证、脾虚湿滞证、痰湿淤滞证、水湿内阻证、肝肾阴虚证、湿热蕴结证、脾肾阳虚证、气阴两虚证、肝气郁结证、瘀血阻络证,以气虚血瘀证为主.
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