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目的:探讨慢性乙肝患者肝组织病理与中医辨证分型的关系。方法:146例慢性乙肝患者进行肝活检及病理学分级分期的诊断,同时进行中医辨证分型诊断。结果:(1)146例慢性乙肝患者病理诊断属轻度慢性乙肝者74例、中度48例、重度24例,(2)中医辨证分型:属肝郁脾虚型58例(39.73%)、肝胆湿热型5例(3.42%)、肝肾阴虚型17例(11.64%)、脾肾阳虚型6例(4.10%)及瘀血阻络型为主,占68.75%(33/48);重度组24例,均属瘀血阻络型范围,只是少数患者伴有其它兼证。结论慢性乙肝中医辨证分型,可不同程度反应肝损害及肝纤维化程度,对临床诊断与治疗有指导意义。
Objective: To investigate the relationship between pathology of liver tissue and TCM syndrome differentiation in chronic hepatitis B patients. Methods: A total of 146 cases of chronic hepatitis B patients were diagnosed by liver biopsy and pathological grading and staging. At the same time, TCM syndrome differentiation was diagnosed. Results: (1) There were 74 cases with mild chronic hepatitis B in pathological diagnosis of 146 cases with chronic hepatitis B, 48 cases with moderate degree and 24 cases with severe degree. (2) 58 cases (39.73%) with syndrome of liver- 5 cases (3.42%) had liver and gallbladder dampness type, 17 cases (11.64%) had liver and kidney yin deficiency type, 6 cases (4.10%) had spleen and kidney yang deficiency type, ; Severe group of 24 cases, all belong to the scope of blood stasis network, only a few patients with other concurrent certificates. Conclusion Syndrome Differentiation of Chronic Hepatitis B can reflect the degree of liver damage and liver fibrosis in varying degrees, which is instructive for clinical diagnosis and treatment.