【作者】 李艳丽；

【导师】 谢晶日；

【作者基本信息】 黑龙江中医药大学 ， 中医内科学， 2010， 硕士

【摘要】 目的:探讨慢性乙型肝炎(简称慢乙肝) ALT、AST和IL-4之间的相关性。方法:对150例慢乙肝患者进行中医辨证分型,共分为肝郁脾虚型、湿热中阻型、瘀血阻络型、肝肾阴虚型、脾肾阳虚型五个证型,并且所有病例均行ALT、AST、IL-4水平的检查,通过对所得数据的分析,来尝试揭示人群中慢乙肝患者ALT、AST、IL-4的水平的相关性。结果: 1.不同证型患者的ALT、AST存在差异,以湿热中阻型患者ALT、AST升高最为显著,其次为瘀血阻络型,与其他证型比较差异显著,p<0.05。而肝郁脾虚型、肝肾阴虚型、脾肾阳虚型ALT、AST升高不明显。2.患者的IL-4水平明显不同(P<0.01),肝郁脾虚型<湿热中阻型<瘀血阻络型<肝肾阴虚型<脾肾阳虚型,随着病情的活动、病程的推延,IL-4水平逐渐上升。结论:1.不同证型的慢乙肝患者ALT、AST存在差异;2.IL-4与慢乙肝中医证型具有一定的相关性,表现为肝郁脾虚型<湿热中阻型<瘀血阻络型<肝肾阴虚型<脾肾阳虚型,IL-4水平逐渐上升。更多还原

【Abstract】 Objective: It is to explore the correlation between chinese medcine syndrome of chronic hepatitis B and ALT, AST and IL-4.Methods: 150 patients with chronic hepatitis B were diagnosed with differential chinese medcine syndrome, such as stagnation of liver-energy and asthenia of spleen, middle-stagnation of wetness-heat, blood stasis obstruction of collaterals, deficiency of liver-Yin and kidney-Yin, deficiency of spleen and kidney Yang, and their indexes of liver function, and interleukin-4 were determined.By analyzing of the research data, to explore the correlation between chinese medcine syndrome of chronic hepatitis B and ALT, AST and IL-4.Results: 1.ALT and AST of different syndromes is different in these 150 patients, (P<0.01), the increased of ALT and AST of middle-stagnation of wetness-heat and blood stasis obstruction of collaterals are highest than other syndromes, but the latter than the former.And the others are not more higher than normal person.2.The IL-4 quantitation of different syndromes is different in these 150 patients,(P<0.01), stagnation of liver-energy and asthenia of spleen< middle-stagnation of wetness-heat< blood stasis obstruction of collaterals< deficiency of liver-Yin and kidney-Yin< deficiency of spleen and kidney Yang.Conclusion: 1.There are diversity between different chinese medcine syndrome of CHB in the aspect of liver function (ALT, AST). 2. There are some correlation between chinese medcine syndrome of CHB and IL-4.更多还原