肝病实脾理论指导下中药干预失代偿期肝硬化营养状态的疗效分析  

An effective analysis of TCM medicine intervention according to the Ganbing Shipi therapy on decompensated cirrhosis nutritional status

作　　者：孟祥林 李海雷 罗宏伟 

机构地区：[1]郑州市中医院,河南郑州450000

出　　处：《中医临床研究》2016年第4期16-17,共2页Clinical Journal Of Chinese Medicine

基　　金：郑州市2014年科技计划(编号20140523)

摘　　要：目的:评价"肝病实脾"理论指导下运用中药干预失代偿肝硬化营养状态的临床疗效。方法:将120例肝硬化失代偿期患者随机分为治疗组(西医常规治疗+营养支持+中药)60例;对照组(西医常规治疗+营养支持)60例,1个疗程均为1个月,比较治疗前后两组主观综合性营养评估法(SGA)评估分级、体质指数(BMI)、三头肌皮褶厚度(TSF)、上臂肌围(AMC)的变化,评价临床疗效。结果:SGA评估结果为治疗前治疗组B级37例、C级23例,对照组B级39例、C级21例,治疗后治疗组A级25例、B级25例、C级10例,对照组A级12例、B级32例、C级16例,治疗组疗效优于对照组(P<0.05);治疗后治疗组患者BMI、TSF、AMC水平明显高于对照组患者,差异具有统计学意义(P<0.05)。结论:"肝病实脾"理论指导下运用中药干预有利于改善肝硬化失代偿期患者的营养不良状态,提高患者体质状况。Objective： To evaluate clinical effects of TCM medicine intervention according to the Ganbing Shipi therapy on decompensated cirrhosis nutritional status. Methods： 120 patients were randomly divided into the treatment group and the control group, 60 cases in each. 1 course of treatment lasted for 1 month. Changes of subjective global nutritional assessment rating, body mass index, triceps skinfold thickness, arm muscle circumference in groups were compared. Clinical effects were evaluated. Results： SGNA rating, BMI, TSF and AMC in the treatment group were obviously higher（P〈0.05）. Conclusion： TCM medicine intervention according to the Ganbing Shipi therapy could improve decompensated cirrhosis nutritional status and patient＇s physique.

关 键 词：肝硬化失代偿期 肝病实脾 营养评估 

分 类 号：R575.2[医药卫生—消化系统]