CT定量测定在脂肪肝中医疗效评价中的应用  

Clinical application of CT quantitative estimation in the evaluation of TCM treating effect of the fatty liver

作　　者：王嵩[1] 李琼[1] 王夕富[1] 

机构地区：[1]上海中医药大学附属龙华医院放射科,上海200032

出　　处：《中国中西医结合影像学杂志》2008年第6期405-407,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：上海市科技攻关项目(编号:024119067)

摘　　要：目的:采用CT定量测定的方法,探讨其在脂肪肝中医疗效评价中的应用价值。方法:选取临床确诊为湿热内蕴型脂肪肝患者18例,经CT分度后,接受以清热利湿、化浊解毒、祛瘀柔肝为主的中医治疗,治疗前、后均行常规肝脏CT扫描和血清生化指标(包括ALT、AST、ALT/AST、TC、TG)的检查,测量肝、脾CT值,并计算肝脾CT值比值,然后对治疗前后肝脾CT值比值、血清学指标变化进行统计学比较。结果:中药治疗后的肝脾CT值比值较治疗前升高(P<0.05)。血清生化指标中仅TG治疗前后的变化有统计学意义(P<0.05)。结论:CT定量测定较血清生化指标能更准确地反映脂肪肝的中医疗效。Objective： To explore the clinical value of CT quantitative evaluation in TCM treatment of fatty liver. Methods： Eighteen cases verified retention of damp heat in interior type were treated by Chinese medicine. The effect was evaluated by the ratio of liver spleen and biochemical test, included ALT, AST, ALT/ AST, TG, TC both pre-and after the treatment. Results： It showed that the ratio of liver-spleen was higher after TCM treatment （ P 〈0.05）. Levels of serum ALT, AST, ALT/ AST, TC were not variation except TG . Conclusion： The ratio of liver-splccn is a valuable reference standard in quantitative evaluation of TCM therapy.

关 键 词：脂肪肝 定量测定 中医药 体层摄影术 X线计算机 

分 类 号：R259[医药卫生—中西医结合]