柴胡护肝汤联合恩替卡韦分散片治疗慢性乙型肝炎临床研究
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R575.1

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Clinical Study on Chaihu Hugan Tang Combined with Entecavir Dispersable Tablets for Chronic Hepatitis B
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    摘要:

    目的:观察柴胡护肝汤联合恩替卡韦分散片治疗慢性乙型肝炎的临床疗效。方法:将100例慢性乙型肝炎患者随机分为对照组和观察组各50例,对照组给予恩替卡韦分散片治疗,观察组在对照组基础上给予柴胡护肝汤治疗,2组均持续用药半年。记录患者消化道症状的改善时间,比较2组治疗前后肝功能指标[谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆红素(TBil)以及谷氨酰转移酶 (GGT)],对比分析治疗总有效率。结果:观察组腹胀、纳差、恶心呕吐改善时间均短于对照组( P <0.05)。治疗后,2组ALT、AST、TBil、GGT水平均较治疗前下降,差异均有统计学意义( P <0.05);观察组ALT、AST、TBil、GGT水平均低于对照组,差异均有统计学意义( P <0.05)。观察组总有效率84.0%,对照组总有效率60.0%,2组比较,差异有统计学意义( P <0.05)。结论:在恩替卡韦分散片治疗基础上加用柴胡护肝汤可有效改善慢性乙型肝炎患者的临床症状,保护肝功能,提高治疗效果。

    Abstract:

    Objective:To observe the clinical effect of Chaihu Hugan tang combined with entecavir dispersable tablets for chronic hepatitis B.Methods:Divided 100 cases of patients with chronic hepatitis B into the controlgroup and the observation group randomly, 50 cases in each group.The control group was treated with entecavir dispersable tablets, while the observation group was additionally given Chaihu Hugan tang based on the treatment of the control group.The two groups continuously received treatment for six months.Recorded the improvement time of gastrointestinal symptomsin patients,compared liver function indexes including alanine transaminase(ALT), aspartate transaminase(AST), total bilirubin(TBil)and gamma glutamyl transferase(GGT),and compared and analyzed the total effective rate of treatment in the two groups before and after treatment.Results:The improvement time of abdominal distension,poor appetite,nausea and vomiting in the observation group was shorter than that in the control group(P < 0.05).After treatment,the levels of ALT,AST,TBil and GGT in the two groups were decreased when compared with those before treatment,differences being significant(P < 0.05).The levels of ALT,AST,TBil and GGT in the observation group were all lower than those in the control group,differences being significant( P < 0.05).The total effective rate was 84.0%in the observation group and was 60.0%in the control group,the difference being significant( P <0.05).Conclusion:The additionalapplication of Chaihu Hugan tang based on the treatment of entecavir dispersable tablets can effectively improve the clinicalsymptoms of patients with chronic hepatitis B,protect liver function and improve the therapeutic effect.

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刘建军.柴胡护肝汤联合恩替卡韦分散片治疗慢性乙型肝炎临床研究[J].新中医,2018,50(7):106-108

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  • 在线发布日期: 2018-07-09
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