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目的:分析小儿胆道闭锁Kasai术后的中医证候学特点,为探讨胆道闭锁Kasai术后的中医诊治提供依据;方法:临床收集胆道闭锁Kasai术后的临床资料51例,对常见中医症状频数、中医证候(虚证、实证)分布进行统计分析。结果:(1)胆道闭锁Kasai术后主要症状有:疲倦乏力发生的机率最高(74.5%),其次为腹胀痞块(68.6%)、纳差(60.8%)、黄疸(58.8%)、腹部青筋暴露(52.9%)、面色晦暗或黧黑(50.9%)、便溏(45.1%)、大便浅黄(35.3%)、畏寒肢冷(31.4%)、尿黄(27.5%)、易感冒(25.5%)、自汗盗汗(21.6%)等。(2)胆道闭锁Ka-sai术后患儿主要舌质表现为舌质淡(82.4%),或舌体胖有齿印(27.5%);舌苔多见白、厚、腻苔为主(62.7%),或有灰黑苔(13.1%);指纹表现多为淡(74.5%)、红(84.3%)、达气关(67.7%)。(3)胆道闭锁术后患儿的中医单一证候以脾虚证、气滞证多见,分别占86.3%、84.3%;复合实证分布以气滞血瘀证,气滞寒湿证,血瘀寒湿证多见,分别占66.7%、56.9%、52.9%,虚实复合证中出现较多的是脾虚+气滞证,占54.9%。结论:胆道闭锁Ka-sai术后中医证候主要集中在脾虚证、气滞证、寒湿证、血瘀证;各种证候常相兼出现,虚实夹杂。
Objective: To analyze the characteristics of traditional Chinese medicine (TCM) syndrome after pediatric biliary atresia Kasai surgery and to provide evidence for the diagnosis and treatment of traditional Chinese medicine (TCM) after biliary atresia Kasai surgery.Methods: Clinical data of 51 cases of Kasai after biliary atresia were collected, TCM syndromes (deficiency syndrome, empirical) distribution for statistical analysis. Results: (1) The main symptoms of biliary atresia after Kasai were as follows: fatigue was the highest (74.5%), followed by abdominal distension (68.6%), anorexia (60.8%), jaundice (52.9%), dull or dark complexion (50.9%), loose stools (45.1%), light yellow stools (35.3%), aphrodisiac cold (31.4% ), Spontaneous sweating (21.6%) and so on. (2) The main tongue of children with biliary atresia after Ka-sai was pale tongue (82.4%), or tongue with fat tooth (27.5%); %), Or dark gray moss (13.1%). Fingerprints were mostly pale (74.5%), red (84.3%) and daqi (67.7%). (3) The TCM syndromes of children with biliary atresia were more common in spleen deficiency syndrome and qi stagnation syndrome, accounting for 86.3% and 84.3% respectively. The composite empirical distribution included qi stagnation syndrome, qi stagnation syndrome, blood stasis syndrome Cold and dampness syndrome is more common, accounting for 66.7%, 56.9% and 52.9% respectively. Among the syndromes of actual and actual symptoms, spleen deficiency and qi stagnation syndrome occur more, accounting for 54.9%. Conclusion: TCM syndromes of Ka-sai after biliary atresia mainly focus on spleen-deficiency syndrome, qi stagnation syndrome, cold-dampness syndrome and blood stasis syndrome.