补血滋阴疏肝法治疗肝硬化失代偿期合并失眠症29例  

Method of Replenishing Blood and Nourishing Yin as Well as Soothing Liver in Treating Decompensated Cirrhosis complicated with Insomnia for 29 Cases

作　　者：张金付[1] 陈翠玲[1] 田荣茂 李海鸥[1] 唐红[1] 叶敏贞[1] 叶剑鹏[1] 刘淑明[1] 熊益居 

机构地区：[1]福建省三明市中西医结合医院肝病科,三明365001 [2]福建省三明市宁化县医院内科,宁化365001

出　　处：《中国中医药现代远程教育》2015年第20期38-40,共3页Chinese Medicine Modern Distance Education of China

基　　金：福建中医药大学校管科研课题(No:XB2012075)

摘　　要：目的观察补血滋阴疏肝法治疗肝硬化失代偿期并失眠症临床疗效。方法 59例肝硬化失代偿期并失眠症患者,以48例水肿患者随机分成治疗组和对照组两组,再以另外11例无浮肿患者随机分为治疗组和对照组两组。两组均用基础治疗,治疗组共29例患者。服用具有补血滋阴疏肝功效的中药汤剂。结果比较治疗组治疗前后睡眠质量P值<0.01,差异有统计学意义;对比照组治疗前后睡眠质量,P值大于0.05,差异无统计学意义;比较治疗组和对照组的治疗后的睡眠质量P值<0.05,差异有统计学意义,说明治疗组经疏肝滋阴补血治疗后患者睡眠质量好于对照组。无论治疗组还是对照组其ALT、ALB、TB治疗前后均有改善。治疗组治疗后ALT与ALB与对照组治疗后对比P<0.01,差异有统计学意义,说明治疗组补血滋阴疏肝法对ALT与ALB治疗效果好于对照组。对治疗组和对照组治疗后TB进行统计分析P值大于0.05,差异无统计学意义。结论中医补血滋阴疏肝法可有效改善肝硬化失代偿期并失眠症。Objective To observe the clinical therapeutic effect of method of replenishing blood and nourishing yin as well as soothing liver in treating decompensated cirrhosis complicated with insomnia. Methods There were fifty-nine cases of patients with decompensated cirrhosis complicated with insomnia. In these cases, forty-eight edema cases were randomly divided into treatment group and control group,and the other eleven cases were also randomly divided into treatment group and control group. The two groups adopted basic treatment, and the treatment group contained 29 cases which used additionally the decoction of replenishing blood and nourishing yin as well as soothing liver. Results The sleep quality of the treatment group was compared before and after treatment, and the difference had statistical signifi-cance（ P〈0.01）. The sleep quality of the control group was compared before and after treatment, and the difference had no statistical sig-nificance（P〉0.05）. The sleep quality of the treatment group and control group was compared before and after treatment, and the difference had statistical significance（P〈0.05）. It concluded that the sleep quality of the treatment group was superior to the control group. The ALT,ALB and TB were improved before and after treatment both in treatment group and the control group. The ALT and ALB of the treatment group and the control group after treatment had significant difference（ P〈0.01）. The therapeutic effect of the treatment group with the de-coction of replenishing blood and nourishing yin as well as soothing liver in improving the ALT and ALB was superior to the control group.The TB between the treatment group and control group after treatment had no significant difference（ P〉0.05）. Conclusion The method of replenishing blood and nourishing yin as well as soothing liver can effectively improve decompensated cirrhosis complicated with insomnia.

关 键 词：补血 滋阴 疏肝 肝硬化失代偿期 失眠症 臌胀 

分 类 号：R259[医药卫生—中西医结合] R256.23[医药卫生—中医内科学]