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膈下逐瘀汤加味用于慢性乙型肝炎肝硬化患者的临床疗效观察
作者:李庭辉  贾利英 
单位:石家庄市高邑县中医院 内科 石家庄 051330 
关键词:关键词:膈下逐瘀汤 慢性乙型肝炎 肝硬化 
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出版年,卷(期):页码:2015,7(2):84-87
摘要:

摘要:目的 探讨膈下逐瘀汤加味治疗慢性乙型肝炎肝硬化的临床疗效。方法 选取本院2013年6月至2014年5月收治的慢性乙型肝炎肝硬化患者126例,采用随机数表法将其分为观察组与对照组,每组各63例。观察组患者给予膈下逐瘀汤加味与拉米夫定治疗,对照组患者仅给予拉米夫定治疗,比较两组患者临床治疗效果。结果 观察组患者治疗有效率为82.5%(52/63),显著高于对照组61.9%(39/63),差异具有显著性(P = 0.0097);两组患者治疗前谷丙转氨酶(ALT)、谷草转氨酶(AST)、Child-Pugh评分、透明质酸(HA)、层粘连蛋白(LN)、Ⅳ型胶原蛋白(Ⅳ-C)、Ⅲ型前胶原蛋白(PⅢP)水平比较差异均无显著性(P > 0.05),治疗后两组患者上述指标水平均显著降低(观察组:P = 0.0000,0.0000,0.0000,0.0000,0.0000,0.0000,0.0000;对照组:P = 0.0000,.0000,0.0000,0.0000,0.0276,0.0003,0.0000),且观察组显著低于对照组(P = 0.0000,0.0000,0.0000,0.0127,0.0287,0.0000,0.0164)。结论 膈下逐瘀汤加味与拉米夫定联合治疗慢性乙型肝炎肝硬化,能够在有效抗病毒基础上良好改善患者症状体征,降低肝纤维化指标,促进肝细胞再生,延缓或逆转肝硬化进程,值得临床推广应用。

Abstract: Objective To discuss the clinical effects of Gexia Zhuyu Decoction Jiaweifang in patients with chronic hepatitis B cirrhosis. Methods Total of 126 patients with chronic hepatitis B cirrhosis in our hospital from June 2013 to May 2014 were selected and randomly divided into observation group and control group, 63 cases in each group. The observation group was treated with Gexia Zhuyu Decoction Jiaweifang combined with lamivudine, and the control group was treated with lamivudine only. Compared the clinical effects of the two groups. Results The effective rate in the observation group was 82.5% (52/63), significantly higher than that in the control group [61.9% (39/63)], the difference was significant (P = 0.0097); there was no significant difference in AST, ALT, Child-Pugh, HA, LN, Ⅳ-C, and PⅢP before treatment in two groups (P > 0.05), and the levels were significantly reduced after the treatment (the observation group:P= 0.0000, 0.0000, 0.0000, 0.0000, 0.0000, 0.0000, 0.0000;the control group:P = 0.0000, 0.0000, 0.0000, 0.0000, 0.0276, 0.0003, 0.0000), but the observation group was significantly lower than control group (P = 0.0000, 0.0000, 0.0000, 0.0127, 0.0287, 0.0000, 0.0164). Conclusions Gexia Zhuyu Decoction Jiaweifang combined with lamivudine can improve the symptoms and signs based on the effective antiviral in patients with chronic hepatitis B cirrhosis, and reduce hepatic fibrosis index, promote the regeneration of liver cells, retard or reverse the process of hepatic cirrhosis.

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