首页|肝爽颗粒联合替诺福韦治疗慢性乙型肝炎肝纤维化的疗效分析

肝爽颗粒联合替诺福韦治疗慢性乙型肝炎肝纤维化的疗效分析

扫码查看
目的 探讨肝爽颗粒联合替诺福韦治疗慢性乙型肝炎肝纤维化患者的疗效分析.方法 选取2020年1月-2022年1月医院收治的72例慢性乙型肝炎肝纤维化患者,依照随机数表法随机分为试验组和对照组各36例.对照组采用替诺福韦治疗,试验组在对照组的基础上另给予肝爽颗粒治疗,2组均治疗16周.比较临床疗效、肝功能指标(总胆红素[TBiL]、谷草转氨酶[AST])、肝硬化指标(透明质酸[HA],层黏连蛋白[LN])及不良反应.结果 试验组总有效率高于对照组(P<0.05).治疗后,两组AST、TBiL水平较治疗前均降低(P<0.05),试验组AST、TBiL水平均低于对照组(P<0.05);两组HA、LN较治疗前均降低(P<0.05),试验组HA、LN均低于对照组(P<0.05),试验组不良反应发生率13.89%与对照组11.11%比较,差异无统计学意义(P>0.05).结论 肝爽颗粒联合替诺福韦治疗慢性乙型肝炎肝纤维化患者疗效显著,改善肝功能,减轻肝硬化,安全可靠,值得推广.
Analysis of the Therapeutic Effect of Ganshuang Granule Combined with Tenofovir on Chronic Hepatitis B Patients with Liver Fibrosis
Objective To analysis of the therapeutic effect of Ganshuang Granule combined with tenofovir on chronic hepatitis B patients with liver fibrosis.Methods 72 patients with chronic hepatitis B liver fibrosis admitted to the hospital from January 2020 to January 2022 were randomLy divided into the combined group and the conventional group according to the random num-ber table method,with 36 patients in each group.The routine group was treated with tenofovir,and the combined group was treated with Ganshuang Granule on the basis of the routine group.The treatment time of both groups was 16 weeks.The clinical efficacy,liver function indexes[total bilirubin(TBIL),glutamic oxaloacetic transaminase(AST)],liver cirrhosis indexes[hyaluronic acid(HA),laminin(LN)]and adverse reactions were compared between the two groups.Results After treatment,The clinical efficacy of the combined group was better(P<0.05).The levels of AST and TBIL in the two groups were lower than before,the levels of AST and TBIL in the combined group were lower(P<0.05).The levels of HA and LN in the two groups were lower than before(P<0.05),and the levels of HA and LN in the combined group were lower(P<0.05),the incidence of adverse reactions was 13.89%in the combined group and 11.11%in the conventional group.There was no significant difference between the two groups(P>0.05).Conclusion Ganshuang granule combined with tenofovir is effective in the treatment of chronic hepatitis B pa-tients with liver fibrosis,improving liver function and alleviating cirrhosis.It is safe and reliable and worthy of promotion.

Ganshuang granulechronic hepatitis B liver fibrosisinterleukin-6tumor bad factor-αincidence of adverse reactions

邱榕、陶云平、吴迪

展开 >

江苏大学附属医院,江苏镇江 212000

镇江市第三人民医院,江苏镇江 212000

肝爽颗粒 慢性乙型肝炎肝纤维化 总胆红素 肿瘤坏因子-α 不良反应发生率

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(5)