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目的分析中西医结合治疗脂肪肝的方法及临床效果。方法 84例脂肪肝患者,随机分为常规保肝组和联合治疗组,各42例。常规保肝组采用复合磷酸酯酶肠溶片治疗,联合治疗组在常规保肝组基础上给予中药汤剂进行治疗。比较两组治疗效果。结果联合治疗组患者总有效率为95.24%,显著高于常规保肝组的80.95%,差异具有统计学意义(P<0.05)。干预后联合治疗组谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平优于常规保肝组,差异有统计学意义(P<0.05)。联合治疗组体质量指数、腰围优于常规保肝组,差异有统计学意义(P<0.05)。两组均仅有1例出现轻微腹泻。结论中西医结合治疗脂肪肝临床效果确切,可有效改善患者肝功能,降低血脂,减少体质量指数、腰围,无明显不良反应,值得推广。
Objective To analyze the method and clinical effect of treating integrative fatty liver with integrated traditional Chinese and western medicine. Methods Eighty-four patients with fatty liver were randomly divided into routine hepatoprotective group and combination therapy group, with 42 cases in each group. Conventional liver protection group treated with compound phosphatase enteric-coated tablets, the combined treatment group on the basis of conventional liver protection group given Chinese medicine decoction for treatment. Compare the treatment effect of two groups. Results The total effective rate of the combined treatment group was 95.24%, which was significantly higher than that of the conventional hepatoprotective group (80.95%), the difference was statistically significant (P <0.05). After intervention, the levels of AST, ALT, TC and LDL-C in the combined treatment group were significantly higher than those in the conventional liver preservation group (P < 0.05). Body mass index and waist circumference in the combined treatment group were better than those in the conventional liver preservation group (P <0.05). Only 1 patient had mild diarrhea in both groups. Conclusion Integrative treatment of fatty liver clinical effect is exact, can effectively improve liver function, reduce blood lipids, reduce body mass index, waist circumference, no obvious adverse reactions, it is worth promoting.