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Objective:This article, based on a history of chronic severe hepatitis patients, clinical manifestations, laboratory examinations, etc. A retrospective analysis and comprehensive study of syndromes of chronic severe hepatitis distribution law, and laboratory examination of the relationship, for better and play Chinese characteristics advantages and further enhance the efficacy of chronic severe hepatitis B to provide objective data.Methods:On the 2003-2008 Ditan Hospital in Beijing,81 hospitalized patients with chronic severe hepatitis patients were analyzed retrospectively.63 cases were male, 18 females. The above information is based on a retrospective analysis of chronic severe hepatitis summarized the distribution of syndromes, and in accordance with the syndromes to classify the data statistical analysis. Main observation of the following indicators:1. Chronic hepatitis cases of the syndrome and in the total number of cases of composition.2. The syndrome of chronic severe hepatitis and related indicators of the relationship between Western medicine laboratory. Data and data analysis using computer statistical software SPSS15.0, count data using X2 test (Wilcoxon test was used level data), measurement data using mean±standard deviation (X earth s), said statistical description, using t test. P<0.05 indicated statistically significant difference, P> 0.05 indicated no significant difference betweenResults:1. In these cases,81 according to TCM dialectical type can be divided into sixsyndrome:respectively:(23 cases ChiCheng toxic heat,28.40% of total cases), wet poison inside (27), the total cases), liver and spleen 33.33% blood stasis (8 cases of total cases of kidney deficiency 9.88%), (4),4.94% of total cases), spleen and kidney Yang (10 cases of 12.35% of total cases), liver, spleen qi deficiency (9 cases of total cases of nov 11%).2. Comparing the results of evidence-based laboratory. ALT, AST increased significantly, but each group no significant difference (p> 0.05), Tbil, Dbil increased significantly, including Fujian College of significantly higher than other groups (p< 0.05), Alb, CHE in each group were significantly lower, but each group no significant difference (p> 0.05), the group PT was significantly prolonged, PTA significantly reduced, PLT decreased in each group showed no significant difference (p> 0.05), BUN, CR in each group were within normal range, between the two groups no significant difference (p> 0.05), AFP were increased in each group, no significant group differences (p> 0.05). Conclusion:This study is retrospective survey research methods, data collected in the case of computer analysis, the following information:1. In cases of chronic severe hepatitis, according to TCM syndrome differentiation is divided into excessive noxious heat, to be filled Pathogenic Heat and Toxin, liver and spleen Blood, liver and kidney, liver and spleen deficiency, spleen and kidney yang syndrome 6, of which excessive noxious heat and Pathogenic Heat and Toxin to be filled with the largest proportion, suggesting that these two syndromes in patients with chronic severe hepatitis B appears highest.2. Fulminant hepatitis syndromes can be seen all serious liver damage, but different syndromes, and reserve their metabolism is not uniform, excessive heat and toxin, spleen and kidney yang certificate severe illness, poor prognosis and high mortality.
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