首页|中药复方养肝活血汤对酒精性肝病的临床研究

中药复方养肝活血汤对酒精性肝病的临床研究

Clinical Study of Herbal Compound Yanggan Huoxue Decoction on Alcoholic Liver Disease

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目的:探讨中药复方养肝活血汤治疗酒精性肝炎的临床疗效及对肝功能、肝纤维化及血脂的影响.方法:选取酒精性肝病患者70例.随机分为复方养肝活血汤组(A组)和硫普罗宁肠溶片组(B组)各35例,A组予口服中药复方养肝活血汤+西药硫普罗宁肠溶片治疗,B组予口服西药硫普罗宁肠溶片治疗,治疗12周后,记录检测治疗前后肝功能、血脂等指标,进行统计学分析.结果:治疗后,复方养肝活血汤组的总有效率(82.86%)高于硫普罗宁肠溶片组(65.71%),差异有统计学意义(P<0.05).复方养肝活血汤组治疗后 ALT(44.51±10.22)、AST(40.37±10.03)、GGT(100.37±10.03)、TBil(20.37±5.05)等指标均低于硫普罗宁肠溶片组(51.03±10.41)(45.71±10.19)(115.14±9.41)(23.29±4.93),差异有统计学意义(P<0.05).复方养肝活血汤组治疗后总胆固醇、甘油三脂等指标均低于硫普罗宁肠溶片组,差异有统计学意义(P<0.05).复方养肝活血汤组与硫普罗宁肠溶片组治疗后高密度脂蛋白、低密度脂蛋白相比较,差异无统计学意义(P>0.05);复方养肝活血汤组治疗后超声病变改善程度优于硫普罗宁肠溶片组,差异有统计学意义(P<0.05).结论:中药复方养肝活血汤治疗酒精性肝病的临床疗效显著,能够改善患者肝功能,降低血清中肝功、肝纤维化及血脂的相关指标.
Objective:To investigate the clinical effect of herbal compound Yanggan Huoxue Decoction on alcoholic liver disease and its influence on liver function,liver fibrosis and blood lipid.Methods:Seventy patients with alcoholic liver disease were divided into 2 groups:Compound Yangganhuoxuetang group(Group A)and Tiopronin enteric-coated tablet group(Group B)(n=35,repectively).Traditional Chinese medicine compound Yanggan Huoxuet Decoction and Western medicine Tiopronin enteric-coated tablets were used to the patients in the Group A.Western medicine Tiopronin enteric-coated tablets were used to the patients in the Group B.After 12 weeks of treatment,liver function,blood lipid and other indicators before and after treatment were recorded and analyzed statistically.Results:The total effective rate of compound Yangganhuoxuesis decoction group(82.86%)was higher than that of tiopronin enteric-coated tablet group(65.71%).The difference was statistically significant between the two groups(P<0.05).ALT(44.51±10.22),AST(40.37±10.03),GGT(100.37±10.03)and TBil(20.37±5.05)in Compound Yanggan Huoxuetang group were all lower than tiopronin enteric-coated tablet group(51.03±10.41)(45.71±10.19).115.14±9.41)(23.29±4.93).The difference was statistically significant between the two groups(P<0.05).Comparison of high density lipoprotein and low density lipoprotein between Compound Yanggan Huoxuet Decoction group and Tiopronin enteric-coated tablet group after treatment were no significant(P>0.05).The improvement of ultrasonic lesion in compound Yangganhuoxuetang group was better than that in tiopronin enteric-coated tablet group.The difference was statistically significant between the two groups(P<0.05).Conclusion:TCM compound Yanggan Huoxue Decoction has significant clinical efficacy in the treatment of alcoholic liver disease,which can improve the liver function of patients and reduce the related indexes of liver function,liver fibrosis and blood lipid in serum.

Herbal Compound Yanggan Huoxue DecoctionAlcoholic Liver diseaseClinical Research

张春雨、邢鹏、周福荣、肖逸豪、赵红兵

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呼和浩特市蒙医中医医院

内蒙古自治区中医医院

呼和浩特市赛罕区医院,内蒙古 呼和浩特 010000

复方养肝活血汤 酒精性肝病 临床研究

2024

中国民族医药杂志
全国中医药图书情报工委会,内蒙古中蒙医研究所

中国民族医药杂志

影响因子:0.28
ISSN:1006-6810
年,卷(期):2024.30(9)