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石军颗粒联合乳果糖治疗肝硬化肝性脑病的临床观察

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目的 观察在西医常规治疗基础上应用石军颗粒内服治疗肝硬化肝性脑病的临床疗效.方法 采用单中心随机对照研究将64例肝硬化肝性脑病患者分为试验组与对照组各32例.两组患者均予常规治疗,试验组加用石军颗粒和乳果糖,对照组加用乳果糖,疗程14 d.观察两组肝功能、凝血功能、血浆氨、高尔基体蛋白73、中医证候及临床症状改善情况.结果 试验组总有效率为90.62%,高于对照组的50.00%(P<0.05);治疗7 d,试验组凝血酶原延长时间、内毒素低于对照组(P<0.05);治疗14 d,试验组谷丙转氨酶、谷草转氨酶、总胆红素、高尔基体蛋白73、血浆氨指标均低于对照组;治疗7 d及14 d,试验组中医证候总积分、Child Pugh评分低于对照组(P<0.05).结论 石军颗粒可以改善肝硬化肝性脑病患者的肝功能,减轻炎症反应,降低Child Pugh评分,缓解临床症状,提高中医临床疗效.
Clinical Observation of Shijun Granules Combined with Lactulose in the Treatment of Hepatocirrhosis and Hepatic Encephalopathy
Objective:To observe the clinical efficacy of applying Shijun Granules for internal treatment of hepa-tocirrhosis and hepatic encephalopathy on the basis of conventional treatment in western medicine.Methods:A to-tal of 64 patients with hepatocirrhosis and hepatic encephalopathy were divided into 32 cases each in the experi-mental group and the control group in a single-center randomized controlled study.Both groups were treated with conventional therapy,with the addition of Shijun Granules and lactulose in the experimental group and lactulose in the control group,and the course of treatment was 14 days.Improvement of liver function,coagulation function,plasma ammonia,Golgi protein 73,Chinese medicine symptoms and clinical symptoms were observed in the two groups.Results:The total effective rate of the experimental group was 90.62%,which was higher than 50.00%of the control group(P<0.05);after 7 days of treatment,the prolongation time of plasminogen and endotoxin of the experimental group were lower than those of the control group(P<0.05);after 14 days of treatment,the indicators of alanine aminotransferase,glutamic oxalate aminotransferase,total bilirubin,golgi protein 73,and plasma ammo-nia of the experimental group were lower than those of the control group;after 7 and 14 days of treatment,the total points of Chinese medicine symptoms,and Child Pugh score of the experimental group were lower than those of the control group(P<0.05).Conclusion:Shijun Granules can improve liver function,reduce inflammatory reac-tion,lower Child Pugh score,alleviate clinical symptoms,and improve the clinical efficacy of traditional Chinese medicine in patients with hepatocirrhosis and hepatic encephalopathy.

HepatocirrhosisHepatic encephalopathyShijun GranulesLiver function

章慧怡、卓蕴慧

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上海中医药大学附属曙光医院,上海 201203

肝硬化 肝性脑病 石军颗粒 肝功能

上海市科技创新行动计划医学创新研究专项(2022)

22Y11921000

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(5)
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