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中西医结合治疗肝炎性脂肪肝临床效果

Clinical Effect of Integrated Traditional Chinese and Western Medicine in the Treatment of Hepatitis Fatty Liver
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摘要 目的:探讨中西医结合治疗肝炎性脂肪肝效果及超声检查情况。方法:选取2018年4月-2019年7月于笔者所在医院诊治的肝炎性脂肪肝患者76例,随机分为两组,对照组38例给予常规西药治疗,观察组38例给予中西医结合治疗,观察两组治疗前后临床症状积分、超声检查结果及肝功能指标变化情况。结果:观察组治疗后肝区不适、食欲缺乏、乏力、腹胀积分分别为(1.32±0.11)、(1.18±0.13)、(1.40±0.10)、(0.66±0.06)分,均显著低于对照组的(2.86±0.13)、(2.47±0.25)、(2.22±0.14)、(1.17±0.14)分,差异均有统计学意义(P<0.05);治疗后超声检查显示,观察组肝脏正常率为44.74%,显著高于对照组的10.53%,差异有统计学意义(P<0.05);观察组治疗后AST、ALT、GGT水平分别为(23.28±2.53)、(23.67±2.06)、(23.51±2.16)U/L,均显著低于对照组的(37.54±3.66)、(38.16±3.24)、(38.23±3.45)U/L,差异均有统计学意义(P<0.05)。结论:将中西医结合疗法用于肝炎性脂肪肝患者临床治疗中,可有效改善临床症状及肝功能,促使肝脏恢复正常,总体效果较理想。 Objective:To study the effect of integrated traditional Chinese and western medicine in the treatment of hepatitis fatty liver and its ultrasonic diagnosis.Method:Seventy-six patients with hepatitis fatty liver diagnosed and treated in our hospital from April 2018 to July 2019 were selected and randomly divided into two groups.And 38 cases in the control group were treated with routine western medicine,and 38 cases in the observation group were treated with integrated traditional Chinese and western medicine.The clinical symptom scores,ultrasonic examination results and liver function indexes of the two groups were observed before and after treatment.Result:After treatment,the scores of liver discomfort,inappetence,fatigue and abdominal distension in the observation group were(1.32±0.11),(1.18±0.13),(1.40±0.10)and(0.66±0.06)points,which were lower than(2.86±0.13),(2.47±0.25),(2.22±0.14),(1.17±0.14)points of the control group,and the differences were statistically significant(P<0.05).Ultrasonic examination after treatment showed that the normal rate of liver in the observation group was 44.74%,which was significantly higher than 10.53%of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of AST,ALT and GGT in the observation group were(23.28±2.53),(23.67±2.06),(23.51±2.16)U/L,which were significantly lower than(37.54±3.66),(38.16±3.24),(38.23±3.45)U/L of the control group,and the differences were statistically significant(P<0.05).Conclusion:Integrated traditional Chinese and western medicine for patients with hepatitis fatty liver,which can effectively improve the clinical symptoms and liver function,promote the liver to return to normal,the overall effect is better.
作者 庹菲 孙克伟 TUO Fei;SUN Kewei(The First Clinical College of Traditional Chinese Medicine,Hunan University of Traditional Chinese Medicine,Changsha 410208,China;不详)
出处 《中外医学研究》 2020年第20期14-17,共4页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 肝炎性脂肪肝 西药 中药 超声检查 肝功能 Hepatitis fatty liver Western medicine Traditional Chinese medicine Ultrasonic examination Liver function
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