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慢性乙型肝炎中医证型分布与免疫学指标、HBV-DNA定量关系的研究

田广俊 池晓玲 谈博 蔡东林

实用临床医药杂志2012,Vol.16Issue(21):31-33,44,4.
实用临床医药杂志2012,Vol.16Issue(21):31-33,44,4.

慢性乙型肝炎中医证型分布与免疫学指标、HBV-DNA定量关系的研究

Quantitative relationship between TCM syndrome distribution and immunological parameters and HBV-DNA in chronic hepatitis B

田广俊 1池晓玲 1谈博 2蔡东林2

作者信息

  • 1. 广东省中医院肝病科,广东广州,510120
  • 2. 广州中医药大学,广东广州,510405
  • 折叠

摘要

Abstract

Objective To investigate the relationship between TCM syndrome distribution laws and certificate of chronic hepatitis B-type and laboratory indicators. Methods A total of 300 eligible subjects were enrolled in the study. The HBV-DNA, T cell subsets and other laboratory parameters were observed. Results Stagnation and spleen deficiency is the most common type. T-cell immune function in the peripheral blood had significant difference between different syndrome types. The HBV-DNA high copy accounting for copy number of patients: liver and spleen deficiency (41.1%)>damp heat resistance type (22. 6% )>blood stasis type (21. 2% )> liver-kidney (8. 5 %) >spleen and kidney yang (5.6 %). With the increase of the virus copy number, CD4 T cell percentages and CD4 + /CDg+ ratio decreased. CDg + T cell percentage and HBV-DNA copy number increased proportionally. CD3+ and CD4+ T cell percentage between groups showed no significant difference DNA negative group. CDg+ T cell percentage was significantly lower than the DNA-posi-tive group. Conclusion TCM syndromes of chronic hepatitis B with a certain regularity. Peripheral blood lymphocyte immune function test results (Eg, of CD3+ , of CD4 + , CDg+ and of CD4 + / CDg+ ), HBV-DNA load can be used as the objective reference of the type of clinical syndrome.

关键词

慢性乙型肝炎/辨证分型/细胞免疫/HBV-DNA定量

Key words

chronic hepatitis B/syndrome type/cellular immunity/quantitative HBV-DNA

分类

医药卫生

引用本文复制引用

田广俊,池晓玲,谈博,蔡东林..慢性乙型肝炎中医证型分布与免疫学指标、HBV-DNA定量关系的研究[J].实用临床医药杂志,2012,16(21):31-33,44,4.

基金项目

广东省中医药管理局课题(2009390) (2009390)

实用临床医药杂志

OACSTPCD

1672-2353

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