首页|复肝消积汤联合恩替卡韦治疗慢性乙肝肝硬化肝郁脾虚证的临床效果

复肝消积汤联合恩替卡韦治疗慢性乙肝肝硬化肝郁脾虚证的临床效果

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目的:探讨慢性乙肝(CHB)肝硬化肝郁脾虚证患者采用复肝消积汤联合恩替卡韦治疗的临床效果。方法:选取2019年1月至2023年1月期间广昌县中医院收治的共计60例CHB肝硬化肝郁脾虚证患者,以随机数字表法分成研究组30例与对照组30例,对照组给予恩替卡韦治疗,研究组给予复肝消积汤联合恩替卡韦治疗,统计临床疗效,比较两组肝功能、肝纤维化指标及肝脏硬度值(LSM)。结果:研究组治疗总有效率较对照组更高(p<0。05);两组治疗后谷丙转氨酶(ALT)、谷草转氨酶(AST)、血胆红素(TBil)水平下降(P<0。05),白球比例(A/G)升高(P<0。05),研究组ALT、AST、TBil水平较对照组更低(P<0。05),A/G更高(P<0。05);两组治疗后透明质酸(HA)、层黏连蛋白(LN)、Ⅳ型胶原(CⅣ)、Ⅲ前胶原(PC Ⅲ)水平下降(p<0。05),研究组较对照组更低(P<0。05);两组治疗后LSM下降(P<0。05),研究组较对照组更低(P<0。05)。结论:复肝消积汤联合恩替卡韦应用于CHB肝硬化肝郁脾虚证患者治疗中,能够提高临床疗效、肝功能,促进肝纤维化指标及肝脏硬度值改善。
Objective:To explore the clinical effect of Fugan Xiaoji decoction and entecavir in the treatment of CHB cirrhosis with liver stagnation and spleen deficiency syndrome.Methods:A total of 60 patients with liver depression and spleen deficiency syndrome of CHB cirrhosis from January 2019 to January 2023 who were admitted in Guangchang County Traditional Chinese Medicine Hospital were selected.They were randomly divided into the study group(30 cases,Fugan Xiaoji decoction and entecavir)and the control group(30 cases,entecavir).Clinical efficacy was analyzed,and liver function,liver fibrosis indicators,and LSM were compared in both groups.Results:In the total effective rate of treatment,in comparision of the control group,the study group was higher(P<0.05).After treatment,ALT,AST,and TBil levels in both groups were decreased(P<0.05),A/G was increased(P<0.05),and in comparision of the control group,ALT,AST,and TBil levels in the study group was lower(P<0.05),and A/G was higher(P<0.05).After treatment,HA,LN,C Ⅳ,and PC Ⅲ levels in both groups were decreased(P<0.05),and in comparision of the control group,the study group was lower(P<0.05).After treatment,LSM in both groups were decreased(P<0.05),and in comparision of the control group,the study group was lower(P<0.05).Conclusion:The combination of Fugan Xiaoji decoction and entecavir can improve clinical efficacy,liver function,liver fibrosis indicators,and liver hardness in the treatment of patients with liver depression and spleen deficiency syndrome in CHB cirrhosis.

Fugan Xiaoji decoctionEntecavirChronic hepatitis BLiver cirrhosisLiver depression and spleen deficiency syndromeClinical effects

周清华

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广昌县中医院·江西抚州 344900

复肝消积汤 恩替卡韦 慢性乙肝 肝硬化 肝郁脾虚证 临床效果

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(6)
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