150例非酒精性脂肪肝患者体质类型与中医经络检测的研究
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摘要
目的:通过研究非酒精性脂肪性肝病患者的体质类型及经络特性,为健康管理及临床治疗提供依据。方法:对150例入组患者分别进行中医体质辨识、经络检测,并将所得结果进行数据处理分析。结果:在150例患者中,痰湿质及气虚质例数最多,分别占22.00%和21.33%,其次为平和质(18.67%)和湿热质(17.33%)。中医经络检测结果表明,异常经络出现频次最高的为肝经,占64.67%,其次为肺经,占50.00%,肾经及心经的异常率分别占39.62%、33.96%。结论:入组患者中比例最高的分别为痰湿质、气虚质、平和质、湿热质;经络检测结果显示出现异常的经络例数最高的分别为肝经、肺经、肾经、心经,且肝经、三焦经的异常情况在不同体质中差异有统计学意义。研究结果与中医对脂肪肝的认识基本一致,而中医经络检测结果有可能为脂肪肝的治疗提供新思路。
Objective: To provide a basis for health management and clinical treatment by studying the constitutional types of Chinese medicine and meridian characteristics of patients with non-alcoholic fatty liver disease. Methods: The 150 patients were treated with physical identification and meridian examination, and the results were analyzed by data processing. Results: In 150 patients, the number of Phlegm-wetness type and Qi deficiency type was the most, accounting for 22.00% and 21.33% respectively. The second was Gentleness type(18.67%) and Wet-heat type(17.33%). According to the results of the detection of meridians, the most frequent occurrence of abnormal meridians is liver meridian, accounted for 64.67%. Secondly, lung meridian is 50.00%;In addition, the abnormal rates of heart meridian and kidney meridian were also higher, accounting for 39.62%and 33.96% respectively. Conclusion: The results showed that the highest proportion of the patients in the group were Phlegm-wetness type, Qi deficiency type, Wet-heat type, Gentleness type. The results of the meridian examination revealed that the highest number of abnormal meridians were liver meridian, lung meridian, kidney meridian and heart meridian. The results of the study were consistent with that of TCM on fatty liver. The results of meridian characteristics can provide new ideas for the treatment of fatty liver.
Objective: To provide a basis for health management and clinical treatment by studying the constitutional types of Chinese medicine and meridian characteristics of patients with non-alcoholic fatty liver disease. Methods: The 150 patients were treated with physical identification and meridian examination, and the results were analyzed by data processing. Results: In 150 patients, the number of Phlegm-wetness type and Qi deficiency type was the most, accounting for 22.00% and 21.33% respectively. The second was Gentleness type(18.67%) and Wet-heat type(17.33%). According to the results of the detection of meridians, the most frequent occurrence of abnormal meridians is liver meridian, accounted for 64.67%. Secondly, lung meridian is 50.00%;In addition, the abnormal rates of heart meridian and kidney meridian were also higher, accounting for 39.62%and 33.96% respectively. Conclusion: The results showed that the highest proportion of the patients in the group were Phlegm-wetness type, Qi deficiency type, Wet-heat type, Gentleness type. The results of the meridian examination revealed that the highest number of abnormal meridians were liver meridian, lung meridian, kidney meridian and heart meridian. The results of the study were consistent with that of TCM on fatty liver. The results of meridian characteristics can provide new ideas for the treatment of fatty liver.
引文
[1]范建高.中国非酒精性脂肪性肝病诊疗指南(2010年修订版)[J].中国医学前沿杂志(电子版),2012,4(7):4-10.
[2]王慧英,李红梅,杨蓓,等.141例脂肪肝患者的中医体质类型分布特点及其与证候的关系[J].北京中医药大学学报,2010,33(7):500-502.
[3]蒋俊民,曹敏玲,池晓玲,等.非酒精性脂肪肝体质分类特点及健康调养效果分析[J].湖南中医杂志,2016,32(6):10-12.
[4]薛欣,李海玉,李玉梅,等.从痰论治脂肪肝机制探讨[J].中国中医基础医学杂志,2014,20(11):1472-1475.
[5]许宝才,毛志远,陈伟.钟坚论治脂肪肝的经验浅析[J].中华中医药杂志,2017,32(7):3036-3038.
[6]马晓燕,司英奎,韩雪林.脂肪肝“气虚痰毒”病机假说的研究思路[J].时珍国医国药,2006,17(12):2421-2422.
[7]王永贞,党安琪.党安琪主任医师脂肪肝两型辨证学术思想[J].长春中医药大学学报,2016,32(6):1145-1148.
[8]朱亮,骆文斌,吴承玉.TDS中医经络检测仪的原理与功用[J].中医学报,2011,26(4):502-503.
[9]潘畅,张瀚丹,颜宇轩,等.80例颈椎病患者体质辨识及经络特性探析[J].中医药导报,2016,22(23):36-38.
[10]兰晓,周国平,杨路,等.基于经络检测指导针刺循经取穴治疗单纯性肥胖的临床研究[J].中华中医药学刊,2017,35(4):977-980.
[11]蔺彩娟.110例患者体质评估与经络检测特点及其与健康状态的关系[J].山西中医,2015,31(1):25-27.
[12]叶沐镕.利用经络检测仪探讨抑郁症与十二经络的相关性[J].中国医药指南,2013,11(17):704-705.
[13]潘畅,颜宇轩,张瀚丹,等.利用TDS经络检测仪探析腰椎间盘突出症与十二经络的相关性[J].中医药导报,2017,23(11):101-104.
[14]佘姝娅,杨茂农,陈霞,等.失眠体质类型与经络检测仪辅助诊断的相关性研究[J].西部中医药,2017,30(10):122-124.
[15]郑志杰,董树永,骈巍巍.掌型经络检测仪稳定性验证[J].医疗卫生装备,2017,38(9):82-85.
[16]李军祥,陈治水,危北海.非酒精性脂肪性肝病的中西医结合诊疗共识意见[J].中国中西医结合杂志,2011,31(2):155-158.
[17]张兴宏.从中医脾肾关系探讨脂肪肝诱发的肾系病变[J].中医文献杂志,2013,31(1):24-25.
[18]王雁翔,高月求,张斌,等.脂肪肝中医证型流行病学调查及其中医病因病机初探[J].中国中西医结合杂志,2005,(10):126-130.
[19]巩艳春,陈霞.肝病从肺论治之浅识[J].辽宁中医杂志,2012,39(6):1049-1050.
[20]王变,肖丽,沈美龙,等.江苏泰州地区公务员脂肪肝发病现状及常规血清学因素分析[J].肝脏,2017,22(10):917-920.
[21]麦剑珊.广州市番禺区健康体检人员超声检查肝脂肪病变情况分析[J].内科,2017,12(5):716-718.
[22]杨红宁.某科研单位人员脂肪肝患病情况分析[J].中国医药导报,2017,14(24):186-188.
[23]徐丽,王河宝,孙悦,等.以“治未病”思想为指导的中医健康管理在脂肪肝中的应用[J].江西中医药,2018,49(2):13-15.
[2]王慧英,李红梅,杨蓓,等.141例脂肪肝患者的中医体质类型分布特点及其与证候的关系[J].北京中医药大学学报,2010,33(7):500-502.
[3]蒋俊民,曹敏玲,池晓玲,等.非酒精性脂肪肝体质分类特点及健康调养效果分析[J].湖南中医杂志,2016,32(6):10-12.
[4]薛欣,李海玉,李玉梅,等.从痰论治脂肪肝机制探讨[J].中国中医基础医学杂志,2014,20(11):1472-1475.
[5]许宝才,毛志远,陈伟.钟坚论治脂肪肝的经验浅析[J].中华中医药杂志,2017,32(7):3036-3038.
[6]马晓燕,司英奎,韩雪林.脂肪肝“气虚痰毒”病机假说的研究思路[J].时珍国医国药,2006,17(12):2421-2422.
[7]王永贞,党安琪.党安琪主任医师脂肪肝两型辨证学术思想[J].长春中医药大学学报,2016,32(6):1145-1148.
[8]朱亮,骆文斌,吴承玉.TDS中医经络检测仪的原理与功用[J].中医学报,2011,26(4):502-503.
[9]潘畅,张瀚丹,颜宇轩,等.80例颈椎病患者体质辨识及经络特性探析[J].中医药导报,2016,22(23):36-38.
[10]兰晓,周国平,杨路,等.基于经络检测指导针刺循经取穴治疗单纯性肥胖的临床研究[J].中华中医药学刊,2017,35(4):977-980.
[11]蔺彩娟.110例患者体质评估与经络检测特点及其与健康状态的关系[J].山西中医,2015,31(1):25-27.
[12]叶沐镕.利用经络检测仪探讨抑郁症与十二经络的相关性[J].中国医药指南,2013,11(17):704-705.
[13]潘畅,颜宇轩,张瀚丹,等.利用TDS经络检测仪探析腰椎间盘突出症与十二经络的相关性[J].中医药导报,2017,23(11):101-104.
[14]佘姝娅,杨茂农,陈霞,等.失眠体质类型与经络检测仪辅助诊断的相关性研究[J].西部中医药,2017,30(10):122-124.
[15]郑志杰,董树永,骈巍巍.掌型经络检测仪稳定性验证[J].医疗卫生装备,2017,38(9):82-85.
[16]李军祥,陈治水,危北海.非酒精性脂肪性肝病的中西医结合诊疗共识意见[J].中国中西医结合杂志,2011,31(2):155-158.
[17]张兴宏.从中医脾肾关系探讨脂肪肝诱发的肾系病变[J].中医文献杂志,2013,31(1):24-25.
[18]王雁翔,高月求,张斌,等.脂肪肝中医证型流行病学调查及其中医病因病机初探[J].中国中西医结合杂志,2005,(10):126-130.
[19]巩艳春,陈霞.肝病从肺论治之浅识[J].辽宁中医杂志,2012,39(6):1049-1050.
[20]王变,肖丽,沈美龙,等.江苏泰州地区公务员脂肪肝发病现状及常规血清学因素分析[J].肝脏,2017,22(10):917-920.
[21]麦剑珊.广州市番禺区健康体检人员超声检查肝脂肪病变情况分析[J].内科,2017,12(5):716-718.
[22]杨红宁.某科研单位人员脂肪肝患病情况分析[J].中国医药导报,2017,14(24):186-188.
[23]徐丽,王河宝,孙悦,等.以“治未病”思想为指导的中医健康管理在脂肪肝中的应用[J].江西中医药,2018,49(2):13-15.