老年肥胖型及非肥胖型脂肪肝患者中医体质特点分析

朱熠文; 林晖明; 周军; 尹燕耀

doi:10.3969/j.issn.1671-038X.2021.07.04

老年肥胖型及非肥胖型脂肪肝患者中医体质特点分析

- 1. 江西中医药大学研究生院(南昌, 330004);
- 2. 深圳市罗湖区中医院肝病科

详细信息

通讯作者: 尹燕耀,E-mail:doctoryyy@163.com

中图分类号: R575.5

收稿日期: 2021-03-30

Analysis of Traditional Chinese Medicine constitution characteristics of elderly patients with obese and non-obese fatty liver

- 1. Graduate School of Jiangxi University of Traditional Chinese Medicine, Nanchang, 330004, China;
- 2. Department of Hepatology, Traditional Chinese Medicine Hospital of Luohu District, Shenzhen

More Information

Corresponding author: YIN Yanyao, E-mail: doctoryyy@163.com

Received Date: 30 March 2021

摘要

摘要: 目的：分析老年肥胖型脂肪肝患者与非肥胖型脂肪肝患者中医体质分布特点，为临床防治不同类型的脂肪肝提供依据。方法：选取确诊为肥胖型脂肪肝的122例老年患者及非肥胖型脂肪肝的68例老年患者作为研究对象，采用标准化的9种中医体质量表对其实施中医体质辨识，分析2组患者中医体质类型特点。结果：偏颇体质为老年肥胖型与非肥胖型脂肪肝患者的主要中医体质类型，2组患者中医体质类型比较差异有统计学意义（P<0.05）；2组患者主要体质类型均为痰湿质、湿热质、气虚质，肥胖型脂肪肝患者痰湿质所占比例最高，非肥胖型脂肪肝患者湿热质所占比例最高，2组患者痰湿质、湿热质、气虚质相比差异有统计学意义（P<0.05）；2组患者均以实性体质为主，在虚实体质比较上差异有统计学意义（P<0.05）。结论：老年肥胖型脂肪肝患者与非肥胖型脂肪肝患者均以实性体质为主要体质类型，肥胖型脂肪肝患者以痰湿质为主，非肥胖型脂肪肝患者以湿热质为主。
- 非酒精性脂肪性肝病 /
- 肥胖型脂肪肝 /
- 非肥胖型脂肪肝 /
- 中医体质 /
- 虚实体质
Abstract: Objective: To analyze the distribution characteristics of Traditional Chinese Medicine(TCM) constitution in elderly patients with obesity type fatty liver and non-obesity type fatty liver, so as to provide basis for clinical prevention and treatment of different types of fatty liver. Methods: One hundred and twenty-two elderly patients with obese fatty liver and 68 elderly patients with non-obese fatty liver diagnosed were selected as the research objects. Nine standardized TCM body mass scales were used to identify their TCM constitution, and the characteristics of TCM constitution types of the two groups were analyzed. Results: The TCM constitution types of elderly obese and non-obese patients with fatty liver were mainly deflective constitution, and the difference between the two groups was statistically significant(P<0.05);the main constitution types of the two groups were phlegmy wet quality, hot humid quality and qi deficiency. The proportion of phlegmy wet quality in obese patients with fatty liver was the highest, and that of hot humid quality in non-obese patients was the highest, the difference was statistically significant(P<0.05); the two groups were mainly excess, and the difference was statistically significant(P<0.05). Conclusion: The two groups of patients are mainly excess constitution, obese patients with fatty liver mainly phlegmy wet quality, non-obese patients with fatty liver mainly hot humid quality.
- non-alcoholic fatty liver disease /
- obese fatty liver /
- non-obese fatty liver /
- Traditional Chinese Medicine constitution /
- deficiency and excess constitution

HTML全文

参考文献(25)

[1]	徐静远, 邵勇, 鲁晓岚, 等.老年居民非酒精性脂肪性肝病的影响因素和死因分析[J].中华肝脏病杂志, 2019, 23(3):204-209.
[2]	邵俊侠, 王静.血滞通胶囊联合阿托伐他汀对老年非酒精性脂肪肝病人肝纤维化的影响以及疗效分析[J].实用老年医学, 2020, 34(9):930-933.
[3]	王泽军, 官文清, 戚赟杰.余杭区老年人群脂肪肝流行病学特征及其危险因素[J].中国公共卫生管理, 2020, 36(6):773-775.
[4]	张婷, 谢雪, 刘玉萍, 等.四川地区中老年体检人群非酒精性脂肪性肝病患病率调查及与代谢相关指标的相关性分析[J].现代预防医学, 2020, 47(12):2267-2271.
[5]	胡平方, 谢渭芬.非肥胖型非酒精性脂肪性肝病的特点及其研究进展[J].国际消化病杂志, 2019, 39(6):382-384.
[6]	Kim D, Kim WR.Nonobese Fatty Liver Disease[J].Clin Gastroenterol Hepatol, 2017, 15(4):474-485.
[7]	Vos B, Moreno C, Nagy N, et al.Lean non-alcoholic fatty liver disease(Lean-NAFLD):a major cause of cryptogenic liver disease[J].Acta Gastroenterol Belg, 2011, 74(3):389-394.
[8]	黄鸿娜, 符燕青, 黄晶晶, 等.非酒精性脂肪肝中医药治疗进展[J].辽宁中医杂志, 2020, 47(11):201-203.
[9]	中华中医药学会脾胃病分会.非酒精性脂肪性肝病中医诊疗指南(基层医生版)[J].中西医结合肝病杂志, 2019, 29(5):483-486.
[10]	中国研究型医院学会肝病专业委员会, 中国医师协会脂肪性肝病专家委员会, 中华医学会肝病学分会脂肪肝与酒精性肝病学组, 中华医学会内分泌学分会肝病与代谢学组.脂肪性肝病诊疗规范化的专家建议(2019年修订版)[J].临床肝胆病杂志, 2019, 35(11):2426-2430.
[11]	王利平, 高文艳, 林一帆, 等.溃疡性结肠炎患者肠黏膜内镜像与中医体质相关性研究[J].中国中西医结合消化杂志, 2016, 24(5):359-361, 366-366.
[12]	李慧, 安冬青.新疆冠心病患者(汉、维)中医体质特点分析及与中医证型的相关性研究[J].北京中医药大学学报, 2012, 35(2):93-98.
[13]	芮法娟, 杨红丽, 吕卓珍, 等.非酒精性脂肪性肝病的流行病学研究进展[J].山东医药, 2020, 60(31):89-92.
[14]	许辰, 高泽立, 张建表, 等.非酒精性脂肪肝进展至肝硬化的危险因素分析及预测模型构建[J].中国中西医结合消化杂志, 2019, 27(10):772-776.
[15]	陈浩, 徐慧超, 张冉冉, 等.从温阳健脾论治非酒精性脂肪性肝病[J].山西中医药大学学报, 2019, 20(6):455-468.
[16]	黄鸿娜, 符燕青, 黄晶晶, 等.非酒精性脂肪肝中医药治疗进展[J].辽宁中医杂志, 2020, 47(11):201-203.
[17]	王喜臣, 张珊珊, 李亚红, 等.中医学关于非酒精性脂肪肝研究[J].吉林中医药, 2021, 41(1):135-139.
[18]	王璇旖, 王红, 杨立宏.非酒精性脂肪肝病与中医体质学的研究概况[J].新疆中医药, 2019, 37(1):103-106.
[19]	程贤文, 张博, 万文雅, 等.脂肪性肝病中西医研究进展[J].中国中西医结合消化杂志, 2019, 27(4):318-322.
[20]	白明华, 王济, 郑燕飞, 等.基于108015例样本数据的中国人群中医体质类型分布特征分析[J].北京中医药大学学报, 2020, 43(6):498-507.
[21]	田智慧, 王琦, 张妍, 等.韩国老年人群中医体质调查报告[J].中医药导报, 2019, 25(19):86-89.
[22]	聂金娜.历代医家论痰湿体质[J].中医杂志, 2013, 54(3):263-265.
[23]	王玉洁, 奚胜艳, 王彦晖, 等.湿热病厘释及舌诊在湿热病中的应用[J].中华中医药杂志, 2018, 33(7):2894-2896.
[24]	何聪, 孔婧, 王慧超, 等.祛湿化瘀法治疗非酒精性脂肪肝研究进展[J].陕西中医, 2020, 468(12):165-167.
[25]	徐立, 符晶, 方芳, 等.加味茵陈五苓散治疗湿热蕴结型非酒精性脂肪性肝病的疗效及对肠道菌群的影响[J].中国实验方剂学杂志, 2019, 25(12):127-132.