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Based On The Structural Clinical Information Acquisition System Analysis Of Syndromes Rule Of Chronic Hepatitis B

Posted on:2012-07-01Degree:MasterType:Thesis
Country:ChinaCandidate:Z ShenFull Text:PDF
GTID:2214330338952376Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Objeetive:Explore chronic viral hepatitis B TCM syndrome distribution rule and characteristics for the classification and standardization, provide a reference for the diagnosis of chronic hepatitis B, and provide basis for the essencial etiopathogenesis TCM syndrome differentiation.Method:Through the application of clinical information acquisition system structured collection CHB patients clinical data, the application of data mining technology to analyses the chronic hepatitis B, and discuss the characteristics, TCM clinical information distribution characteristics of syndromes differentiation, traditional Chinese medicine treatment for the influence on the quality of life of the patients.Result:1. The constituent ratios of TCM syndrome type groups was significant difference.2. Gender constitute has a significant difference.3. Every syndrome type of gender constitute comparative have no significant differences.4. Six groups overall age difference of TCM syndrome type was statistically significant.5. Six groups overall course of disease of TCM syndrome type was statistically significant.6. Liver-kidney Yin deficiency type and other syndrome types in low (not) copy period and immune clearance period was significant difference between distribution. In patients with kidney Yin deficiency pattern in different treatments (whether or not joint antiviral western medicine) history of HBV installment influence different significantly. 7. Other than unlicensed discernible type, five syndrome of chronic liver disease score (CLDQ) before and after treatment were significantly different. In all dimensions of chronic liver disease questionnaire scores, abdominal symptoms (AS), fatigue (FA), systemic symptom (SS) and anxiety (WO) dimension scores before and after treatment also have significant differences.Conclusion:1. The disease exists unlicensed discernible type, the youngest, the course of disease, but the shortest in the formal viral hepatitis TCM syndrome differentiation scheme has not yet mentioned, need further research and regulating their treatment problem.2. Male disease incidence is obviously higher than that of women.3. Unlicensed discernible type and stomach type of pixu are the early stages of chronic hepatitis B disease. Liver and spleen deficiency and liver and gallbladder damp-heat syndrome is the most common.4. Outcome of chronic hepatitis B in the pathogenesis has a periodic law.5. Liver-kidney Yin deficiency type in the natural history of chronic hepatitis B infection is low (non-) copy of the emergence of significantly more than the other syndromes.Traditional Chinese medicine combined western medicine antiviral treatment are more likely to make it easier for liver-kidney Yin deficiency type patients into a better prognosis in patients with low (non-) replication period.6. TCM Differential Treatment can improve the quality of life of patients.7. It is feasible to study on Traditional Chinese Medicine Syndromes through the application of structured clinical data acquisition system.
Keywords/Search Tags:Chronic viral hepatitis B, Syndromes, Structured clinical information collection system
PDF Full Text Request
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