首页|肝豆灵片对痰瘀互结型Wilson病肝硬化预后的影响

肝豆灵片对痰瘀互结型Wilson病肝硬化预后的影响

扫码查看
目的:探讨肝豆灵片对痰瘀互结型Wilson病肝硬化预后的影响.方法:选择2020 年4 月至2021 年4 月住院的106 例痰瘀互结型Wilson病肝硬化患者为研究对象,按照是否服用肝豆灵片分为观察组和对照组,对两组患者定期随访2 年,随访期结束后计算两组患者生存率,选择Kaplan-Meier法绘制两组患者生存曲线,运用log-rank检验进行比较.根据患者生存结局,采用Cox回归分析Wilson病肝硬化预后的危险因素.结果:生存分析显示观察组患者 2 年生存率高于对照组(P<0.05),进一步分析显示在Child-Pugh分级为A级和B级患者中,两组患者生存率差异有统计学意义(P<0.05),C级中两组患者生存率差异无统计学意义(P>0.05).Cox回归分析显示病程、脾切除、Child-Pugh评分和肝豆灵片是影响Wilson病肝硬化预后的独立危险因素(P<0.05).结论:痰瘀互结型Wilson病肝硬化患者出现病程长、脾脏切除、Child-Pugh评分高、未服用肝豆灵片者其预后较差.肝豆灵片能提高痰瘀互结型Wilson病肝硬化患者生存率,但这种保护作用局限在Child-Pugh A级和B级患者.
The effect of Gandouling tablets on the prognosis of Wilson's disease with phlegm and blood stasis in liver cirrhosis
Objective:To explore the effect of Gandouling tablets on the prognosis of Wilson's disease cirrhosis with phlegm and blood stasis accumulation.Methods:106 patients with Wilson's disease cirrhosis,hospitalized from April 2020 to April 2021,were selected as the study subjects.They were divided into observer group and control group based on the administration of Gandouling tablets.The two groups of patients were followed up regularly for 2 years.After the follow-up period,the survival rates of the two groups of patients were calculated.Kaplan Meier method was used to draw the patient survival curve,and log rank test was used for comparison.Based on patient survival outcomes,cox regression was used to analyze the risk factors for the prognosis of wilson's disease with cirrhosis.Results:Survival analysis showed that the 2-year survival rate of the observation group was higher than that of the control group(P<0.05).Further analysis showed that there was a statistically significant difference in survival rate between the two groups of patients in the Child Pugh grade A and B(P<0.05),while there was no statistically significant difference in survival rate between the two groups of patients in the C grade(P>0.05).Cox regression analysis showed that the course of disease,splenectomy,Child-Pugh score,and Ganduling tablets were independent risk factors affecting the prognosis of Wilson's disease with cirrhosis(P<0.05).Conclusion:Patients with Wilson's disease cirrhosis with phlegm and blood stasis accumulation have a long course of disease,splenectomy,high Child-Pugh score,and did not take Ganduling tablets,indicating a poor prognosis.Gandouling tablets can improve the survival rate of Wilson's disease cirrhosis patients with phlegm stasis,but this protective effect is limited to Children Pugh A and B grade patients.

Wilson's diseaseliver cirrhosisprognosisGandouling tablets

黄晓峰、谢道俊、张娟

展开 >

安徽中医药大学第一附属医院 (安徽 合肥,230038)

肝豆状核变性 肝硬化 预后 肝豆灵片

国家自然科学基金面上项目

82274493

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(4)
  • 26