The Study About TCM Syndrome Types Of Chronic Severe Hepatitis B

Chronic severe hepatitis B(hereinafter referred to as the slow re-B) is a critical disease with clinical performance of severe jaundice,extreme fatigue,abdominal distension,which rises urgently,develops quickly,causes high mortality and often stretches complications such as hepatic encephalopathy, hemorrhage,infection,hepatorenal syndrome.In China it is called "yellow radical","yellow disease","jaundice","yellow plague", "yellow hair-day trip" and is treated as "evil drug".At present, Chinese medicine and Western medicine are usually combined to improve patient survival rates are,make timely analysis and block the further development of lesions.Purpose Through the analysis of severe symptoms,syndrome, laboratory investigations target of chronic hepatitis B patients with,try to find out the law and chronic severe hepatitis B syndrome classification criteria for the introduction of objective of differentiation at this stage to provide a reasonable treatment recommendations and a basis for further clinical application and future research to explore the role of pre-starting.Method Collect clinical signs and symptoms,tongue and pulse target laboratory study of 100 hospitalized patients in March 2007 to January 2009 years 1 month in Shenzhen Third People's Hospital liver District,fill out questionnaires syndrome and apply SPSS12.0 Analysis of statistical software to givea analysis of distribution permit disease diagnosis,four frequency information,certain laboratory tests and evidence-based target and carry out a preliminary study-related in conjunction with the relevant literature and try to point out the deficiencies of retrospective survey.Result The study proves that the disease has certain relation with sex and age.Among the 100 patients,men are significantly more than women,the average age of 40.63 years old,in line with the laws of this disease epidemiology;Much type aspect existence holds a certificate simultaneously verifying a type,blood stagnates with liver spleen certificate,courage fever poisons the blazing certificate,we tpoison obstructs for the mainest 3 kinds certificate types to hold a certificate;The body sifting 21 many times the most symptoms goes on a punitive expedition to,discovers every The distribution that the symptom body collects in certificate type room also has peculiarity,body eye yellowing among them,yellow,languorous lack in strength of urine account for 100%equally in all certificate types,other stays if food stops paying,the complexion is dark and gloomy,the abdominal fullness and distention waits to see that the mouth is troubled by(96%), dry much in also common,but poisoning the blazing certificate in courage fever(50%);Wet poison obstructs to see that food stops paying staying much in Sheng Sheng certificate be(95.3%),sticky do not feel well(60.5%);Liver spleen blood stagnates certificate meet much the color is dark and gloomy(93.3%),coerces rib pain (41.3%);Liver Spleen Qi Deficiency Syndrome often nausea(76.5%),then dilute pond(26.5%);The deficiency of liver-yin and kidney-yin certificate sees that the dizzy eye is unsmooth much (88%),is dry(68%);The tongue elephant uses tongue redly,coated tongue are thick,tongue is Greasy,the hypoglossis vein increases rude or circuitous,the yellow moss,white frequency appear on moss are higher,pulse condition use unsmooth,weak,frequency appear on spring,immerses,is higher;Between the different laboratory index and certificate type room also existence correlativity,ALT,AST,TB,DB among them have the notable power-up equally in every certificate type,have AST/ALT at present without exception＞1.2,DB/TB＞0.5,among them wet poison obstructs most highly in rotating the ammonia enzyme group to hold a certificate,the deficiency of liver-yin and kidney-yin certificate forms most highly in bilirubin;HGB,PLT insist to hang down without exception commonly in every certificate type,every certificate type has statistics meaning(P＜0.05),But blood stagnates with liver spleen the certificate,the deficiency of liver-yin and kidney-yin certificate are most notable;PT,PTA have obvious changes in every certificate type,only form there being no notable difference(P＞0.05);AFP rises also obviously in every certificate type,the certificate power-up is most obvious but with liver insufficiency of the spleen-qi.Conclusion The chronic conclusion heavy type virus hepatitis B certificate type distributes the frequency examining information turn up with four has certain correlativity equally with some laboratory checkout index and certificate type scatter.The article builds up discriminates mark of type on the basis counting four examining information and some laboratory indices and verifying type correlativity originally,which will play an active role for further study.