270 Cases Of Fatty Liver In Patients With Clinical Investigation And The Analysis Of Syndrome Study

1Objectivethis research through the study of270fatty liver patients, statistical analysis the correlation of this disease and gender, age, diet, exercise, BMI etc; the distribution difference of outpatient and ward, the differences of a patient attitude, the differences in treatment, the difference of incidence, distribution, often witness type,etc. between nonalcoholic fatty liver disease and alcoholic fatty liver disease. So that we can further of mastery disease tatus,regularities of distribution, witness the type, combined with clinical syndrome fferentiation, better to syndrome differentiation and combination of diagnosis of diseasee. we can use the treatment of the disease to provide certain bas is.2Contents and methodsThis thesis includes two review, clinical research, reference standard (survey form, criteria for the diagnosis of traditional Chinese and western medicine, etc.).The review includes the doctor of traditional Chinese medicine and western medicine research progress, this part mainly analysis the general situation of the studies of the past, the latest research results and the problems and insufficiency, it can provide a basis and direction for later research.The clinical research part refer to "guide TCM clinics of digestive disease""standard of Chinese syndrome curative effect","nonalcoholic fatty liver disease clinics Guide (revised in2010)","alcoholic fatty liver disease clinics Guide (revised in2010)",etc. investigate270cases of fatty liver patient population (mainly include general information, the four diagnostic, the laboratory data, etc.), and analysis the results by use of description, the statistics of the factor, frequency,etc.3Results3.1General informat ion:231cases of outpatient account for85.6%, whi le39cases of ward account for14.4%; and31cases of ALD account for11.5%,239cases of NAFLD account for88.5%; distribution:the male patients are more than female patients, in NAFLD cases,men in the30-39years of age possess the large proportion account for30.67%.while men in the40-49years of age possess the large proportion to ALD account for42.86%; and in NAFLD cases, women in the50-59years of age possess the large proportion account for31.46%; there are difference between the attitude and the knowledge, and with the increase of the degree of understanding, the correct attitude also gradually increase; There were198cases in treatment, and Sports diet therapy ratio of the largest(34.4%); the distributions of BMI and FLD were positively correlated,and NAFLD are more obvious than ALD; the highest combined diseases of FLD is obesity account for36.7%, followed is hyperlipidemia account for28.5%, chronic gastritis account for23.7%, hypertension account for9.24%, diabetes account for36.7%, ctc; most is normal, ALT is22cases of rise, AST is19cases of rise, TG is58cases of rise, TC is42cases of rise; almost no movement account for45.5%, occasionally smoking account for41.9%, Much meat account for21.9%.3.2Syndrome study: Common symptoms and signs: the most common symptom is languid; the most common tongue is like the red tongue mass, coating on the tongue yellow greasy; The most common pulse condition is pulse string; Through the experience and factor analysis, the following four syndromes have been obtained: liver stangation and spleen deficiency, hot and humid intrinsic, liver depression and internal stomach, insufficiency of the spleen and phlegmatic hygrosis. Comparative analysis between NAFLD and ALD card type draw: they are in differences (P＜0.05), the ALD in hot and humid intrinsic rate is higher, and NAFLD stomach slightly higher in spleen deficiency.3.3Relationship of syndrome with general data: In one of the male patients, Hot and humid embodiment type is higher, Change the type is second; In the female patients, Change the type is higher, Change the internal heating type is second; Change the type, change the internal heating type is relatively concentrated at the age of40to49; Hot and humid embodiment, phlegmy wet50to59, relatively concentrated pixu (spleen deficient); Liver and kidney deficiency, phlegm and blood stasis mutual junction were more than70years old; Mild fatty liver to change more, Moderate fatty liver are more hot and humid, Severe fatty liver are more hot and humid.4conclusionThrough the analysis we reach: there is a great correlation between FLD and sport,diet, especially more obese are in NAFLD,this relate to the social1iving standards improve and lifestyle change; Alcoholic fatty liver in male partial much, this is because man is fond of of alcohol;There are some patients without the typical symptoms or fewer symptoms, it also led to some fatty liver patients were missing,most of the physical is discovered by accident,part is due to the symptoms after Bultrasound or CT check after discovered, the patients don’t know enough about the disease; There have no obvious difference in empirical analysis and factor analysis results, there are difference between NAFLD and ALD.