Clinical research on the correlation of liver function CTP classification and MELD score of post-hepatitis B cirrhosis between different TCM syndromes
10.3760/cma.j.issn.1673-4246.2013.04.002
- VernacularTitle:乙肝后肝硬化中医证型与终末期肝病模型评分及肝功能Child-Turcotte-Pugh分级的相关性探讨
- Author:
Yin ZHANG
;
Xinyue WANG
;
Yuyong JIANG
- Publication Type:Journal Article
- Keywords:
post-hepatitis B cirrhosis;
TCM syndromes;
CTP classification;
MELD score
- From:
International Journal of Traditional Chinese Medicine
2013;35(4):292-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and identify the correlation of CTP classification,MELD score of patients with cirrhosis after hepatitis between different TCM syndromes.Methods For 135 patients comply with hepatitis B cirrhosis standard,standardized TCM syndrome differentiation and laboratory tests is executed so as to analyze the correlation of CTP classification,MELD score of patients with cirrhosis after hepatitis between different TCM syndromes.Results The liver function CTP classification in liver Qi stagnation syndrome and dump-heat accumulation syndrome patients mainly scores to Class A,and the MELD score less than 10 points-based.The liver function CTP classification in Yin deficiency of Liver and kidney,Yang deficiency of spleen and kidney and blood stasis syndromes mainly scores to Class B-C,and the MELD scores more than 10 points basically.Yin deficiency of Liver and kidney,Yang deficiency of spleen and kidney and blood stasis syndromes take majority in advanced cirrhosis patients compared with liver Qi stagnation syndrome and dump-heat accumulation syndrome take majority in early stage cirrhosis patients.Conclusion Matches the traditional view in TCM that form Qi stagnation,to damp heat-water stopped,to blood stasis-Yang and Yin deficiency is the regular pathogenesis evolution pattern of post-hepatitis cirrhosis.