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目的:研究慢性乙型肝炎患者辨证分型的客观化指标及建立多元线性诊断方程。方法:对400例慢性乙型肝炎患者病历中25项临床检测指标进行分析,选取TP、H、Sα、HBsAg、HBeAg、ALT等6项指标,建立多元线性回归方程。结果:经线性回归方程诊断,各证型的符合半分别为:湿热中阻证(68.53％);肝肾阴虚证(29.51％)、肝郁脾虚证(64.58％),脾肾阳虚证(44.49％),瘀血阻络证24％,总符合率为52.75％。结论:诊断方程对确定慢性肝炎辨证分型的客观化诊断有一定价值,但仍需进一步完善。
Objective: To study objective indexes of syndrome differentiation in patients with chronic hepatitis B and to establish multivariate linear diagnostic equation. Methods: Totally 25 clinical indexes in 400 patients with chronic hepatitis B were analyzed. Six indexes including TP, H, Sα, HBsAg, HBeAg and ALT were selected to establish multiple linear regression equation. Results: According to the linear regression equation, the coincidences of the syndrome types were: dampness and heat resistance syndrome (68.53%), liver and kidney yin deficiency syndrome (29.51%), liver depression and spleen deficiency syndrome (64.58%), (44.49%), blood stasis blocking card 24%, the total coincidence rate was 52.75%. Conclusion: The diagnostic equation is of certain value in the objective diagnosis of chronic hepatitis syndrome differentiation, but it still needs further improvement.