[1]刘中景,罗玮敏,顾义海,等.疏肝健脾化瘀法对早期肝硬化患者的无创性诊断及症状体征的影响*[J].西部中医药,2013,26(01):81.
 LIU Zhongjing,LUO Weimin,GU Yihai,et al.Effect of ShuGan JianPi HuaY u Method on Fibroscan Diagnosis and Symptoms of Patients with Early Cirrhosis[J].Western Journal of Traditional Chinese Medicine,2013,26(01):81.
点击复制

疏肝健脾化瘀法对早期肝硬化患者的无创性诊断及症状体征的影响*
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年01期
页码:
81
栏目:
出版日期:
2013-01-15

文章信息/Info

Title:
Effect of ShuGan JianPi HuaY u Method on Fibroscan Diagnosis and Symptoms of Patients with Early Cirrhosis
文章编号:
1004-6852(2013)01-0081-03
作者:
刘中景罗玮敏顾义海孙晓慧于朝霞宋霆
青岛市传染病医院,山东 青岛 266033
Author(s):
LIU Zhongjing, LUO Weimin, GU Yihai, SUN Xiaohui, YU Zhaoxia, SONG Ting
Qingdao Municipality Infectious Disease Hospital, Qingdao 266033, China
关键词:
早期肝硬化疏肝健脾化瘀法无创性诊断症状体征临床观察
Keywords:
early cirrhosis ShuGan JianPi HuaYu method fibroscan diagnosis symptom clinical observation
分类号:
R657.3+1
文献标志码:
B
摘要:
目的:通过临床观察疏肝健脾化瘀法对早期肝硬化患者肝纤维化无创性诊断(Fibroscan)及其症状、体征的改善情况,求证其对早期肝硬化的治疗效果。方法:将160 例被确诊为早期肝硬化的患者随机分为治疗组 71 例和对照组75 例,2 组均常规给予保肝降酶和抗病毒治疗,治疗组给予以疏肝健脾化瘀法所拟复方,对照组予复方鳖甲软肝片,观察2 组患者治疗前后肝纤维化无创性诊断的变化及治疗结束后主要症状、体征的改善情况。结果:肝硬度值2 组治疗前后自身比较,均有统计学差异(P<0.01),治疗后2 组之间比较,治疗组改善明显(P<0.05);主要症状体征改善情况,2 组比较差异有统计学意义(P<0.005)。结论:疏肝健脾化瘀法对早期肝硬化患者的肝硬度值及其症状体征有较好的改善作用。
Abstract:
Objective: To verify therapeutic effects of ShuGan JianPi HuaYu method in treating early cirrhosis through observing the improvement of fibroscan diagnosis and symptoms in patients with early cirrhosis. Method:All 160 patients were randomly separated into the treatment group and the control group. Both groups received the therapy of protecting liver, lowering transaminase and anti-virus, the treatment group took ShuGan JianPi HuaYuTang, the control group were also given with FuFang BieJia RuanGan tablets. Improvements of main symptoms and changes of fibroscan diagnosis before and after treating were observed. Result: There were significant differences in comparisons within one group before and after treating in liver stiffness (P<0.01), compared with the control group,the treatment group improved more significantly after treating (P<0.05); comparison of both groups showed statistical meaning in the improvements of main symptom (P<0.005). Conclusion: The method of ShuGan JianPi HuaYu could improve liver stiffness and symptoms of patients with early cirrhosis.

参考文献/References:

[1] 刘中景,王者令,罗玮敏,等.扶正活血不同组方对肝纤维化大鼠 TGF-茁1 和 TIMP-1 表达的影响[J].世界中西医结合杂志,2010,6(9):760-762.
[2] 中国中西医结合学会肝病专业委员会.肝纤维化中西医结合诊疗指南[J].中华肝脏病杂志,2006,14(11):866-870.
[3] 中华医学会肝病学分会、感染病学分会.慢性乙型肝炎防治指南[J].实用肝脏病杂志,2006,9(1):8-18.
[4] 中华全国中医学会内科肝病专业委员会天津会议.病毒性肝炎中医辨证标准(试行)[J].中医杂志,1992(5):39-40.
[5] 中华内科学会.病毒性肝炎防治方案(试行)[J].中华内科学杂志,1995,34(11):788-791.
[6] 王捷虹,杨志宏.沈舒文教授治疗肝硬化的临床经验[J].中医药信息,2012,29(5):58-59.
[7] 王静滨.谢晶日教授治疗肝硬化腹水经验举隅[J].中医药信息,2010,27(4):21-22.
[8] 孙晓慧,罗玮敏,宋霆,等.疏肝健脾化瘀法对乙型肝炎早期肝硬化患者相关血清学指标的影响[J].中西医结合肝病杂志,2012,22(5):268-270.
[9] 蒋映明.中医药治疗乙型肝炎并肝硬化的研究进展[J].右江民族医学院学报,2012,34(4):533-535.
[10]姚东升,孙明瑜,刘平,等.黄芪汤治疗肝纤维化的研究进展[J].山西中医学院学报,2012,13(3):146-148.
[11]蔡敏,程亚伟,蔡媛媛,等.罗凌介治疗肝硬化经验[J].辽宁中医杂志,2010,37(11):2102-2103.
[12]杨玉新.慢性病毒性乙型肝炎肝硬化发生率与中医证型的相关性[J].河北中医,2009,31(12):1796.
[13]中华医学会.临床诊疗指南 - 传染病分册 - 病毒性肝炎[M].北京:人民卫生出版社,2006:1-16.
[14] Modig J,Busch C,Waernbaum G.Effects of graded infusions of monomethylmethacrylate on coagulation,blood lipids,respiration and circulation an experimental study in dogs[J].Clin Orthop Relat Res,1975(113):187-197.
[15]Wong GL,Wong VW,Choi PC,et al.Assessment of fibrosis by transient elastography compared with liverbiopsy and morphometry in chronic liver diseases[J].Clin Gastroenterol Hepatol,2008,6(9):1027-1035.
[16] V deledinghen,J Veryniol.Transient elastography(Fibroscan)[J].Gastroenterologie cliniqueet bidogique,2008,32(8):58-67.
[17]Poynard T,Halfon P,Castera L,et al.Standardization of ROC curve areas for diagnostic evaluation of liver fibrosis markers based on prevalences of fibrosis stages[J].Clin Chem,2007,53(9):1615-1622.
[18] Takemoto R,Nakamuta M,Aoyagi Y,et al.Validity of fibroscan values for predicting hepatic fibrosis stage in patients with chronic HCV infection[J].J Dig Dis,2009,10(2):145-148.

备注/Memo

备注/Memo:
收稿日期:2012-08-20
* 基金项目:青岛市中医管理局计划项目(编号 2011-ZYY021)
作者简介:刘中景(1955—),男,博士学位,主任医师。研究方向:肝病的中西医结合诊治。
更新日期/Last Update: 1900-01-01