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非酒精性脂肪肝中医症候分布特点及其相关Logistic因素分析

TCM symptoms distribution characteristics of nonalcoholic fatty liver disease and its related Logistic factors analysis

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【作者】 储建坤霍晓辉马金城

【Author】 CHU Jian-kun,HUO Xiao-hui,MA Jin-cheng(The First Hospital of Hebei Medical University,Shijiazhuang 050031,China)

【机构】 河北医科大学第一医院

【摘要】 目的:探讨非酒精性脂肪肝中医症候分布特点及其相关的危险因素。方法:150例非酒精性脂肪肝患者进行多因素Logistic回归分析,并探讨非酒精性脂肪肝患者的临床症状、体征及中医症候分布特点。结果:BMI、TG、FBG、DBP是非酒精性脂肪肝的独立危险因素。ALT、AST在湿热内蕴型、瘀血阻滞型患者中升高较肝气郁滞型、痰湿内阻型、肝肾阴虚型明显,差异均具有统计学意义(P<0.05),肝气郁滞型、肝肾阴虚型、痰湿内阻型患者TC较其他两种证型患者降低,差异具有统计学意义(P<0.05)。结论:非酒精性脂肪肝以肝气郁滞型、湿热内蕴型、痰湿内阻型、瘀血阻滞型、肝肾阴虚型五种症候为主,其主要独立危险因素为BMI、TG、FBG、DBP。

【Abstract】 Objective: Discuss TCM symptoms distribution characteristics of nonalcoholic fatty liver disease and its associated risk factors.Methods: Multi-factor Logistic related variables regression analysis on 150 patients of medical examination with nonalcoholic fatty liver disease,and discuss the distribution characteristics of clinical symptoms,signs and symptoms of traditional Chinese medicine of the patients with nonalcoholic fatty liver disease.Results: BMI,TG,FBG,DBP are independent risk factors for the development of alcoholic fatty liver.ALT,AST inner heat,congestion block type in patients with elevated liver qi stagnation,phlegm type,liver-kidney,the differences were statistically significant(P<0.05).Qi Yustagnation,liver-kidney patients TC lower compared to the other three syndromes patients(P<0.05).Conclusion: The five principal kind of symptom of nonalcoholic fatty liver disease are liver stasis,hot and humid embodiment,phlegmy wet resistance,gore block,liver and kidney Yin deficiency type,its major independent risk factor for BMI,TG,FBG,DBP.

  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2013年06期
  • 【分类号】R259
  • 【被引频次】30
  • 【下载频次】693
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