Correlation Between TCM Constitutional Characteristics And Prognosis In Patients With Familial Aggregation Of Chronic Hepatitis B

Purpose:The purpose of this paper is to 296 cases of familial aggregation the clinical data of patients with chronic hepatitis b(CHB) to conduct a comprehensive analysis, and carries on the type of traditional Chinese medicine and health, explore the physical type and familial aggregation relationship between different clinical outcomes in patients with chronic hepatitis b, in order to provide more objective and comprehensive for the clinical treatment in the future based on evidence-based medicine.Material and method:By retrospective clinical study, conform to the standard of familial aggregation of hepatitis b cases 296 cases as the research object and according to the evaluation standard viral hepatitis diagnosis and syndrome of traditional Chinese medicine "dialectical classification, at the same time use the establishment of such as wang the doctor of traditional Chinese medicine physique survey scale for constitutional type evaluation cases included in the study. The epidemiological investigation and analysis to make the familial aggregation of chronic hepatitis b drug use questionnaire research on into patients with questionnaire, investigation content includes name, gender, age, place of residence(mainly inspects areas distribution, in order to study the effect of geographical environment factors to the development of disease), occupation(mainly inspects the onset is affected by the work in contact with the physical and chemical material), TCM diagnosis, disease, syndrome, tongue and pulse condition) and family history, western medicine diagnosis, drug formulation composition, physical type, etc.Results:1.296 cases of chronic hepatitis b patients with familial aggregation ratio as follows: the traditional Chinese medicine constitution classification, Yin and Yang and quality, and the proportion of the biggest(86 cases, 29%), followed by wet and heat(71 cases, 24%), qualitative, deficiency of qi depression, phlegm wet mass came in third, four, five(66 cases, accounting for 22.3%, 50 cases, accounting for 16.9%, 10 cases, 3.4%), respectively, in the last four, Yin deficiency, Yang deficiency, blood stasis, the great mass(6 cases, accounting for 2.0%, 3 cases, accounting for 1.0%, 2 cases, accounting for 0.6%, 2 cases, 0.6%). 2. Familial aggregation in patients with chronic hepatitis b among TCM constitution type in all ages, HBV viral load, the distribution of HBV infection duration of statistically significant difference(P < 0.05) 3. Familial aggregation in patients with chronic hepatitis b the TCM constitution type and duration of HBV infection, liver super living situation, the liver function laboratory testing index, there was no statistically significant difference frequency distribution(P > 0.05) 4. The three kinds of different clinical outcome in patients with health questionnaire results: patients with ASC is gentle temperament, more patients with CAH is phlegmy wet mass and damp and hot, more CSH for patients with blood stasis.Conclusion: 1.Deficiency of mass, damp and hot, qi depression mass is familial aggregation high rates of chronic hepatitis B in traditional Chinese medicine physique. 2. The deficiency of serious problems in patients with high viral load, and patients are mainly concentrated in 40-70 years old;Between 20 to 40 patients with damp and hot, qi depression constitution is more, in patients with viral load for medium level. 3. Prognosis of chronic hepatitis b has more obvious phenomenon of familial aggregation, the close relationship with TCM constitution factors...