Correlation Analysis of Chinese Medicine Syndrome Types and Abdominal Ultrasonic Features in Patients with Hepatitis B Complicated with Liver Cirrhosis
Abstract:Objective:To discuss and analyze the correlation between Chinese medicine syndrome types and abdominal ultrasonic features in patients with hepatitis B complicated with liver cirrhosis. Methods:A total of 150 cases of patients with hepatitis B complicated with liver cirrhosis were selected and divided into different groups according to Chinese medicine syndrome types. The features of ultrasonic image and hemodynamic indexes were compared between different syndrome types. Results: The longitudinal diameters of left lobe of the liver in patients with liver qi depression syndrome group, spleen deficiency and exuberant dampness syndrome group,and internal dampness- heat retention syndrome group were significantly longer than that in the blood stasis obstructing the collateral syndrome group(P<0.05); the length and the posterior diameter of spleen in the blood stasis obstructing the collateral syndrome group were significantly longer than those in the other syndrome types(P<0.05). The diameters of portal vein in the liver- kidney yin deficiency syndrome group,the spleen- kidney yang deficiency syndrome group and the blood stasis obstructing the collateral syndrome group were significantly larger than that in the internal dampness- heat retention syndrome group(P<0.05); the mean flow velocity of portal vein in the liver qi depression syndrome group was significantly larger than that in the blood stasis obstructing the collateral syndrome group(P<0.05). There was no significant difference being found in the comparison of the diameter and mean flow velocity of portal vein among the six groups(P<0.05). The proportions of rough gallbladder wall in the liver qi depression syndrome group, the spleen- kidney yang deficiency syndrome group and the blood stasis obstructing the collateral syndrome group were significantly lower than that in the internal dampness- heat retention syndrome group(P<0.05);the proportion of intracavitary inhomogeneous echoes in the internal dampness- heat retention syndrome group was significantly higher than those in the other five groups(P<0.05);the proportions of disproportion of shape,serrated capsule and increasing diffuse echo in the liver qi depression syndrome group, the spleen deficiency and exuberant dampness syndrome group and the internal dampness-heat retention group were significantly lower than those in the other three groups (P<0.05). Conclusion:In patients with hepatitis B complicated with liver cirrhosis,their Chinese medicine syndrome types will change as the diseases develop. There is a certain correlation between Chinese medicine syndrome types and ultrasonic features as well as hemodynamic indexes,which can provide some basis for the clinical evaluation of the disease.