柴芍六君子汤联合解毒化纤膏治疗慢性乙型肝炎肝纤维化临床研究
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R512.6+2;R575.2

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Clinical Study on Chaishao Liujunzi Decoction Combined with Jiedu Huaxian Adhesive Plaster for Hepatic Fibrosis in Chronic Hepatitis B
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    摘要:

    目的:观察柴芍六君子汤联合解毒化纤膏治疗慢性乙型肝炎肝纤维化的临床疗效。方法:将60 例 慢性乙型肝炎肝纤维化患者按随机数字表法分为观察组和对照组各30 例。对照组予以恩替卡韦分散片口服治 疗,观察组在对照组治疗的基础上加用柴芍六君子汤内服、解毒化纤膏穴位贴敷治疗。2 组均治疗6 个月,比 较中医证候疗效、治疗前后的肝纤维化指标[Ⅲ型前胶原(PCⅢ)、层粘连蛋白(LN)、Ⅳ型胶原(Ⅳ-C)、透 明质酸(HA)]、肝脏硬度值(LSM)、肝功能[谷丙转氨酶(ALT)、谷草转氨酶(AST)、血清总胆红 素(TBil)、γ-谷氨酰转肽酶(GGT)]水平变化。结果:观察组总有效率为86.67%,高于对照组60.00%, 2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组PCⅢ、LN、Ⅳ-C、HA 水平及LSM 值均较治疗前下 降(P<0.05),且观察组PCⅢ、LN、Ⅳ-C、HA 水平及LSM 值下降较对照组更显著(P<0.05)。治疗后, 2 组血清ALT、AST、TBil、GGT 水平均较治疗前下降(P<0.05),且观察组上述各项指标下降较对照组更显 著(P<0.05)。结论:柴芍六君子汤联合解毒化纤膏治疗慢性乙型肝炎肝纤维化疗效显著,可显著改善患者的 肝功能,有效抑制肝纤维化进展。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chaishao Liujunzi Decoction combined with Jiedu Huaxian Adhesive Plaster for hepatic fibrosis in chronic hepatitis B. Methods:A total of 60 cases of patients with hepatic fibrosis in chronic hepatitis B were divided into the control group and the observation group according to the random number table method,with 30 cases in each group. The control group was given the oral administration of Entecavir Dispersible Tablets,and the observation group was additionally treated with the oral administration of Chaishao Liujunzi Decoction and the point application with Jiedu Huaxian Adhesive Plaster based on the treatment of the control group. Both groups were treated for six months. The changes in the levels of liver fibrosis indexes [type Ⅲ procollagen (PC Ⅲ), laminin (LN), type Ⅳ collage Ⅳ- C ( Ⅳ- C), hyaluronic acid (HA)], liver stiffness measurement (LSM), liver function [alanine transaminase (ALT),aspartate transaminase (AST),total bilirubin (TBil),gamma- glutamyl transpeptidase (GGT)] before and after treatment,and the curative effects of traditional Chinese medicine syndromes were compared between the two groups. Results: The total effective rate was 86.67% in the observation group, higher than that of 60.00% in the control group, the difference being significant (P<0.05). After treatment, the levels of PC Ⅲ, LN, Ⅳ- C, and HA, and the values of LSM in the two groups were decreased when compared with those before treatment (P<0.05),and the decrease in the above levels in the observation group was more significant than that in the control group (P<0.05). After treatment,the levels of ALT, AST, TBil, and GGT in serum in the two groups were decreased when compared with those before treatment (P<0.05), and the decrease in the above indexes in the observation group was more significant than that in the control group (P<0.05). Conclusion: Chaishao Liujunzi Decoction combined with Jiedu Huaxian Adhesive Plaster has a significant curative effect in the treatment of hepatic fibrosis in chronic hepatitis B, which can improve the liver function of patients and effectively inhibit the progression of hepatic fibrosis.

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王玲玲,全碧泉,雷叶静,朱小区.柴芍六君子汤联合解毒化纤膏治疗慢性乙型肝炎肝纤维化临床研究[J].新中医,2023,55(12):21-25

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  • 在线发布日期: 2023-06-27
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