[摘要] 目的 研究不同中医证型原发性肝癌患者中血小板分布宽度(PDW)、血小板平均体积(MPV)水平的变化及意义。 方法 采用回顾性研究方法分析2013年1月～2016年12月广西柳州市中医医院收治的155例原发性肝癌患者，根据中医证型将其分为肝气郁结、气滞血瘀、湿热聚毒、肝郁脾虚四组，比较各组PDW、MPV的差异。 结果 原发性肝癌各中医证型组中肝气郁结组PDW较其余组明显升高(P < 0.01)，MPV较其余组明显降低(P < 0.01)。肝郁脾虚组PDW较气滞血瘀组、湿热聚毒组升高(P < 0.01)，MPV较其余三组均增高(P < 0.01)。 结论 PDW和MPV可作为原发性肝癌肝气郁结和肝郁脾虚证型的重要参考指标。

    [关键词] 原发性肝癌；中医证型；血小板分布宽度；血小板平均体积

    [中图分类号] R256.4 [文献标识码] A [文章编号] 1673-7210(2018)01(a)-0102-04

    [Abstract] Objective To studythe changes and significances of platelet distribution width(PDW)and mean platelet volume (MPV) in hepatocellular carcinoma (HCC) patients with different syndrome classified by traditional Chinese Medicine(TCM). Methods A retrospective study was carried out to analyze the clinical data of 155 HCC patients from January 2013 to December 2016 in Liuzhou Hospital of Traditional Chinese Medicine. All patients was divided into four groups according to TCM syndrome： stagnation of liver-Qi ......