| Objective:During the out-patient clinics and wards from March 2010 to December 2010 in zhangzhou hospital of traditionl chinese medicine,150 cases of eligible patients were collected with NAFLD of TCM Syndrome epidemiological investigation, analysis of the distribution of their clinical characteristics, the discussion of risk factors of NAFLD and Syndrome and the correlation between objective indicators, and from a medical point of view to explorethe causes of NAFLD and pathogenesis.Methods:150 cases on the issue of NAFLD in patients with epidemic survey oNAFLD in patients with a comprehensive collection of relevant information. Includegender,age, occupation,past history of major disease Hou,eating diet habits,tobacco andalcohol addiction,after the card-type differentiation, recording their body mass index(BMI), liver function(ALT,AST,GGT), blood lipids(TG,TC), fasting blood glucose(FBG) and the B-test results. Finally, the data collected using statistical methods are classifiedand collated, statistical analysis, in order to carry out NAFLD syndrome differentiation of the epidemiological investigation and research. Cases information on the following analysis:got the general epidemiological information; selected casewere derived from TCM differentiation type; relationships of the card type and courseof disease, age, gender; relationship of certification and body mass index(BMI) relationships of the card type and the objective indicators, that is,liver function, bloodlipids, fasting blood glucose and B-sub-degree.Results:①Epidemiology of the general situation:in the 150 cases of NAFLD,the course in 2-5 yearmost(49.33%).A total of six kinds of evidence-based, followed by liver depression and spleen weak type, liver depression and qi stagnation type, phlegm stagnation type, heat intrinsic type, phlegm and stasis intertwined type, undetermined type. liver depression and Qi stagnation type in particular is the most common type(36%).Male patients with NAFLD, liver depression and spleen weak type accounted for the largest type; whilefemalepatients accounted for a maximum of liver depression and qi stagnation type. Course in 5 years, liver depression and spleen weak type accounted for a maximum.5-10 years, phlegm andstasis intertwined type and heat intrinsic type are the most②The severity:B super deficiency resultsshowed that NAFLD of liver depression and spleen weak type is often mild,phlegmstagnation type and heat intrinsic type were found moderate NAFLD,phlegm andstasis intertwined type is often severe NAFLD.③Relationship with obesity:the majority of overweight patients have NAFLD,patients in phlegm stagnation typewith body mass index-based(BMI) increased the most obvious.④Relationship withliver function:phlegm stagnation type is the most obvious in patients with elevated ALT. GGT to phlegm and stasis intertwined type increased the most obvious.⑤The relationship between blood sugar and blood lipids:NAFLD patients with elevatedblood lipids, triglycerides(TG) increased the most obvious.The most obviousincreased in TG is liver and kidney deficiency type.。Total cholesterol(TC) withphlegm stagnation type in patients got an highest increase.Conclusions:The survey of NAFLD has got a total of six kinds, in which liver depression and spleen weak type accounted for the largest. Patients aged from 30 to 50 years old for more. Prevalence rate of males was significantly higher females. Clinically, mild NAFLD is the most, mainly the liver depression and spleenweak type. The most severe rare among the phlegm and stasis intertwined type. The majority of overweight patients have a NAFLD, there is often accompanied increasing blood lipids, liver function with elevated ALT found. Some serological indicators related evidence-based. Phlegm stagnation type is most obvious in patients with elevated ALT. GGT to phlegm and stasis intertwined type increased the mostobvious. Totalcholesterol(TC) with Phlegm stagnation type in patients increased the most obviously. |
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