首页|疏肝实脾丸联合恩替卡韦治疗乙肝肝硬化代偿期肝郁脾虚证的临床效果研究

疏肝实脾丸联合恩替卡韦治疗乙肝肝硬化代偿期肝郁脾虚证的临床效果研究

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目的 探究疏肝实脾丸联合恩替卡韦治疗乙型肝炎(乙肝)肝硬化代偿期肝郁脾虚证的临床治疗效果、不良反应发生情况及对患者肝功能指标的影响.方法 60 例乙肝肝硬化代偿期肝郁脾虚证患者,随机分成对照组与研究组,每组 30 例.对照组单用恩替卡韦治疗,研究组接受疏肝实脾丸联合恩替卡韦治疗.比较两组治疗效果、肝功能指标[总胆红素(TBil)、天门冬氨酸氨基转移酶(AST)、白蛋白(ALB)]及不良反应发生情况.结果 研究组的临床治疗总有效率 96.7%高于对照组的70.0%(P<0.05).治疗后,研究组的TBil(18.0±3.5)μmol/L、AST(32.4±4.2)U/L均低于对照组的(21.9±4.2)μmol/L、(40.5±6.9)U/L,ALB(42.7±5.0)g/L高于对照组的(36.9±6.0)g/L(P<0.05).研究组的不良反应发生率 3.3%低于对照组的 23.3%(P<0.05).结论 在乙肝肝硬化代偿期肝郁脾虚证治疗过程中,疏肝实脾丸联合恩替卡韦治疗可以有效优化各项肝功能指标,降低不良反应的发生率,提高临床治疗安全性,效果显著.
Study on clinical effect of Shugan Shipi Pill combined with entecavir in treating liver depression and spleen deficiency syndrome in compensatory stage of hepatitis B cirrhosis
Objective To investigate the clinical therapeutic effect,liver function indexes and adverse reactions of Shugan Shipi Pill combined with entecavir in the treatment of liver depression and spleen deficiency syndrome in the compensatory stage of hepatitis B cirrhosis.Methods A total of 60 patients with liver depression and spleen deficiency syndrome at the compensatory stage of hepatitis B cirrhosis were randomly divided into a control group and a study group,with 30 cases in each group.The control group received entecavir alone for treatment,and the study group received Shugan Shipi Pill combined with entecavir for treatment.The therapeutic effect,liver function indexes[total bilirubin(TBil),aspartate aminotransferase(AST),albumin(ALB)]and adverse reactions were compared between the two groups.Results The clinical therapeutic effect of 96.7%in the study group was higher than that of 70.0%in the control group(P<0.05).After treatment,TBil of(18.0±3.5)μmol/L and AST of(32.4±4.2)U/L in the study group were lower than those of(21.9±4.2)μmol/L and(40.5±6.9)U/L in the control group;and ALB of(42.7±5.0)g/L was higher than that of(36.9±6.0)g/L in the control group(P<0.05).The incidence of adverse reactions of 3.3%in the study group was lower than that of 23.3%in the control group(P<0.05).Conclusion In the treatment of liver depression and spleen deficiency syndrome during the compensatory stage of hepatitis B cirrhosis,Shugan Shipi Pill combined with entecavir can effectively optimize various liver function indexes,reduce the incidence of adverse reactions,and improve clinical safety,with significant effects.

Shugan Shipi PillEntecavirHepatitis BCompensatory stage of liver cirrhosisLiver depression and spleen deficiency syndromeLiver function indexAdverse reactions

邓静、万雯

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750021 宁夏中医医院暨中医研究院

疏肝实脾丸 恩替卡韦 乙型肝炎 肝硬化代偿期 肝郁脾虚证 肝功能指标 不良反应

宁夏医科大学校级科研项目资助

XM2020074

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(2)
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