扶正化瘀胶囊联合恩替卡韦分散片治疗慢性乙型肝炎肝纤维化临床研究
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R512.62;R285.6

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Clinical Study on Fuzheng Huayu Capsules Combined with Entecavir Dispersible Tablets for Liver Fibrosis Due to Chronic Hepatitis B
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    摘要:

    目的:观察扶正化瘀胶囊联合恩替卡韦分散片对慢性乙型肝炎(CHB) 肝纤维化患者肝功能、T 淋巴细胞亚群的影响。方法:选取202 例CHB 肝纤维化患者的临床资料进行回顾性分析,根据治疗方法分为对照组和观察组各101 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联合扶正化瘀胶囊治疗,2 组均治疗1 个月。比较2 组治疗前后肝功能指标[丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、总胆红素(TBil)] 和T 淋巴细胞亚群(CD3+、CD4+、CD4+/CD8+) 水平变化,并评价2 组临床疗效及不良反应发生情况。结果:观察组总有效率为97.03%,高于对照组88.12%,差异有统计学意义(P<0.05)。治疗前,2 组肝功能指标比较,差异无统计学意义(P>0.05)。治疗后,2 组ALT、AST 和TBil 水平较治疗前降低,且观察组肝功能指标水平均低于对照组,差异有统计学意义(P<0.05)。治疗前,2 组T 细胞亚群指标水平比较,差异无统计学意义(P>0.05)。治疗后,2 组CD3+、CD4+、CD4+/CD8+较治疗前升高,观察组CD3+、CD4+、CD4+/CD8+均高于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率为2.97%,对照组为6.93%,2 组比较,差异无统计学意义(χ2=0.194,P=1.683)。结论:扶正化瘀胶囊联合恩替卡韦分散片治疗CHB 肝纤维化疗效显著,可有效改善患者肝功能和T 淋巴细胞亚群水平,安全性较好。

    Abstract:

    Abstract:Objective:To observe the effect of Fuzheng Huayu capsules combined with entecavir dispersible tablets on liver function and T lymphocyte subsets in patients with liver fibrosis due to chronic hepatitis B(CHB). Methods: A total of 202 cases of CHB patients with liver fibrosis were given a retrospective analysis of their clinical data, and divided into the control group and the observation group according to their treatment methods,101 cases in each group. The control group was treated with entecavir dispersible tablets, and the observation group was additionally treated with Fuzheng Huayu capsules based on the treatment of the control group. Both groups were treated for one month. Before and after treatment, the changes of the indexes of liver function including alanine aminotransferase(ALT), aspartate aminotransferase(AST) and total bilirubin(TBil),as well as the levels of T lymphocyte subsets including CD3 +,CD4 + and CD4 +/CD8 + in the two groups were compared. The clinical effects and the incidences of adverse reactions in the two groups were evaluated. Results:The total effective rate was 97.03% in the observation group, higher than that of 88.12% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the liver function indexes between the two groups(P>0.05). After treatment,the levels of ALT,AST and TBil in the two groups were decreased when compared with those before treatment, and the levels of liver function indexes in the observation group were lower than those in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of the levels of T lymphocyte subsets between the two groups(P>0.05). After treatment,the levels of CD3 +,CD4 + and CD4 +/CD8 + in the two groups were increased when compared with those before treatment,and the above levels in the observation group were higher than those in the control group,the difference being significant(P<0.05). The incidence of adverse reactions was 2.97% in the observation group and 6.93% in the control group, there being no significance in the difference(χ 2=0.194, P=1.683). Conclusion: Fuzheng Huayu capsules combined with entecavir dispersible tablets has a significant curative effect in treating liver fibrosis due to CHB,which can effectively improve liver function and levels of T lymphocyte subsets,with good safety.

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李春达.扶正化瘀胶囊联合恩替卡韦分散片治疗慢性乙型肝炎肝纤维化临床研究[J].新中医,2021,53(21):108-111

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  • 在线发布日期: 2021-11-12
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