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目的讨论替比夫定联合中草药在治疗肝硬化门脉高压性胃病的临床运用价值。方法将本院2010年3月至2012年2月共收治的门脉高压性胃病患者160例随机分为2组。实验组采取替比夫定联合中草药的治疗方式,对照组采取单纯替比夫定治疗方法。经过1～3个疗程的治疗,通过胃镜检查等手段评价疗效。结果经过治疗,实验组的治愈、显效、有效例数分别为16、23、38例,总有效率为96.3%,与对照组的9、32、32、7和91.2%差异具有统计学意义(P<0.05)。胃镜检查结果则表明,替比夫定联合中草药可以有效促进症状消失与改善。结论替比夫定联合中草药治疗门脉高压性胃病较之单纯的使用替比夫定具有更好的疗效,值得在临床中进一步广泛推广。
Objective To discuss the clinical value of telbivudine combined with Chinese herbal medicine in the treatment of portal hypertensive gastropathy of liver cirrhosis. Methods A total of 160 patients with portal hypertensive gastropathy admitted to our hospital from March 2010 to February 2012 were randomly divided into two groups. The experimental group took telbivudine combination of Chinese herbal medicine treatment, the control group to take a simple telbivudine treatment. After 1 to 3 courses of treatment, by gastroscopy and other means to evaluate the efficacy. Results After treatment, the cured, effective and effective cases in the experimental group were 16, 23 and 38, respectively, with a total effective rate of 96.3%, which was significantly different from that of the control group (9, 32, 32, 7 and 91.2% P <0.05). Gastroscopy results show that telbivudine combined with Chinese herbal medicine can effectively promote the disappearance and improvement of symptoms. Conclusion telbivudine combined with Chinese herbal medicine for the treatment of portal hypertensive gastritis compared with the simple use of telbivudine has a better effect, it is worth further promotion in the clinical.