Study On Clinical Characteristics And Syndromes Of Chronic Liver Disease Insomnia

Objectives: Summarize the clinical characteristics of patients with chronic liver disease,insomnia,explore the governance law justification of liver disease,insomnia,for liver disease with TCM,wakefulness,provide theoretical basis and practical basis.Methods: In the form of questionnaire,investigation of patients with liver disease,insomnia general data,clinical syndrome characteristics,insomnia;With the aid of statistical software SPSS17.0 analysis of liver disease,insomnia patients clinical characteristics,summarizes the law of TCM syndrome,liver disease,insomnia and clinical data correlation.Result:1.400 patients with compensatory phase cirrhosis,chronic hepatitis b patients with different degree of wakefulness,198 cases,accounting for more than 49.5%;The male patients 118 cases,accounted for 47.2%,female 80 cases,accounted for 53.33%,P = 0.235;18 to 45 years old in 99 cases,79 cases of 46 ~ 60 years old,20 patients over 60,compared with 48.29%,54.86%,39.21%,P = 0.14;Course 0.5 ~ 5 years 61 cases,71 cases,6 years ~ 15 years more than 15 years of 66 cases each accounted for 40.13%,52.21%,58.93%,compared to the P = 0.08.Statistics suggest chornic liver disease,insomnia and chornic liver disease in gender? age had no statistical difference in the course of the disease.2.Affect liver disease including disease symptoms of sleep factors,psychological factors,environmental factors,family,social factors,each accounted for 45.21%,43.65%,28.14%,21.73%;Main show is difficulty falling asleep,easy to wake up,difficult to sleep,light sleep,daytime sleepiness,much dream,respectively accounted for 58.59%,51.01%,46.46%,40.4%,29.29% and 22.75%.3.Chornic liver disease,insomnia and the relationship between the liver weight: 83 patients with mild and moderate 35 cases,25 cases of severe,compensatory phase cirrhosis 55 patients,43.01%,51.47%,56.81% and 57.89% respectively compared to the same,P = 0.034,the difference was statistically significant.4.Chornic liver disease patients with insomnia and the relationship between DNA viral load: 34 cases below 103,103 ~ 106,124 cases,more than 106:40 cases,accounted for 28.35%,67.39% and 41.66% respectively compared to the same,P = 0.00,the difference was statistically significant.5.Common tongue as 45 cases with red tongue,pale tongue,66 cases,reddish tongue 50 cases,20 cases of dark red tongue,red crimson tongue 7 cases,10 cases with dark purple tongue ecchymosis,respectively accounted for 22.73%,33.33%,25.25%,10.10%,3.54%,5.05%;67 cases of common coating with thin white moss thin yellow moss 55 cases,yellow greasy moss,38 cases Huang Hou moss in 16 cases,8 white greasy moss,juicy moss in 5 cases,no moss 9 cases,accounted for 33.84%,27.78%,19.19%,8.08%,4.04%,2.53%,4.56%;Common pulse condition has heavy string in 62 cases of arteries and veins,and heavy fine vein,the string is 44 cases,string number 36 cases of arteries and veins,string thin veins 9 cases,string astringent pulse 7 cases,fine number of arteries and veins 5 cases,4 cases were fine astringent pulse,respectively accounted for 31.31%,15.56%,22.22%,18.18%,4.55%,3.54%,2.53%,2.02%.6.Chornic liver disease,insomnia syndrome type distribution: according to the frequency high and low order as: change the 65 cases,liver and gallbladder damp heat syndrome,42 cases suffered hepatorenal Yin deficient card 31 cases,flourishing the 20 cases,16 cases of qi and blood stasis syndrome,liver anaemia of 10 cases of deficiency syndrome,heart and gallbladder qi deficiency syndrome 7 cases,liver stomach with 7 cases,each accounted for 32.83%,21.21%,15.56%,10.10%,8.08%,5.05%,3.54%,3.54%,was statistically significant difference between the each card type.7.The relationship between different syndrome type and age,course of;8 groups of syndrome types,liver stomach with the patients' age,the smallest and shortest duration,patients with hepatorenal Yin deficient card the oldest and longest duration,the card type and there was no statistically significant difference between age and course of the disease.8.Different syndrome types and serum liver enzyme,the relationship between HBV DNA viral load: 8 groups of syndrome types of serum liver enzymes,viral load,statistically significant,the value of serum liver enzyme in liver stomach with the lowest,liver and gallbladder damp and hot card supreme;High viral load in liver and gallbladder damp heat syndrome in,hepatorenal Yin deficient card minimum,differences were statistically significant.Conclusion:1.This study collected 400 patients with chronic hepatitis b and compensatory phase cirrhosis of the liver,198 cases of patients,with varying degrees of wakefulness,accounted for 49.5%,liver disease,insomnia patients with female,age 46 ~ 60 years of age,course of 15 years with higher year-on-year.2.Disease symptoms impact and psychological factors as the main influencing factor of the chronic liver diseaseinsomnia,45.21%,43.65%.3.The incidence of chronic liver disease,insomnia and illness weight have statistical significance.4.Chronic liver disease insomnia patients with tongue pulse characteristics to light white tongue,thin white moss and sink a string of arteries and veins.5.Liver stomach with the age,the smallest and shortest duration;Patients with hepatorenal Yin deficient card oldest and longest duration;The highest serum liver enzyme courage damp heat syndrome,liver stomach with the lowest;The highest viral load in the liver and gallbladder damp heat syndrome,hepatorenal Yin deficient card to a minimum.