中西医结合治疗非酒精性脂肪性肝炎的疗效观察  

Observation of the treatment combined with Chinese and Western medicine on nonalcoholic fatty hepatitis

作　　者：肖德梅[1] 谭兰香[1] 姚专[1] 

机构地区：[1]湖南中医药高等专科学校附属第一医院肝病科,湖南株洲410002

出　　处：《中国中西医结合消化杂志》2009年第6期370-372,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：湖南省株州市临床科研基金资助(2008)

摘　　要：[目的]探讨中西医结合治疗非酒精性脂肪性肝炎(NASH)的临床疗效。[方法]选择NASH患者90例。随机分为2组,对照组44例,口服多烯磷脂酰胆碱胶囊;治疗组46例,在对照组治疗基础上加服柴葛降脂汤,比较2组患者在临床症状、肝脏超声、肝功能及血脂方面的改善情况。[结果]总有效率治疗组为93.4%,对照组为77.3%,2组比较差异有统计学意义(P<0.05);治疗组治疗后症状总积分、超声评分、肝功能及血脂均优于对照组(均P<0.01,<0.05)。[结论]中西医结合治疗NASH有较好的临床疗效。[Objective]To investigate the clinical effect of the treatment combined with Chinese and Western medicine on nonalcoholic fatty hepatitis. [Methods]Ninety cases of patients with nonalcoholic fatty hepatitis were randomly divided into control group and treatment group：44 cases of the control group with capsule of Polyene Phosphatidyl choline treatment, 46 cases of the treatment group with Chaige Jiangzhi Decoction treating based on the control group. The clinical symptoms, Ultrasonography,liver function and blood lipids were observed. [Results] Lipid situation before and after treatment in varying degrees improved, particularly in the treatment group; the total effective rate of the treatment group was 93.4% vs 77.3% of the control group（P〈 0. 05）. And after treatment, the improvement of the symptoms total score, ultrasound score and liver function and blood lipids of the treatment group were significantly superior to the control group（P〈0.01 ,P〈0.05）. [Conclusion]The treatment combined with Chinese and Western medicine on nonalcoholic fatty hepatitis has better clinical efficacy.

关 键 词：肝炎 非酒精性脂肪性 柴葛降脂汤 肝郁脾虚 评分 

分 类 号：R575.5[医药卫生—消化系统]