论文部分内容阅读
目的:探究常规西药联合中医辨证治疗对肝硬化患者临床疗效的影响。方法:选取2012年2月—2014年4月入本院治疗的96例肝硬化患者为研究对象,根据其治疗意愿分为A组50例和B组46例。B组患者予以常规西药疗法,A组予以西药联合中医辨证治疗。对比2组患者临床治疗效果差异,记录其治疗前后中医证候评分、肝功能Child-Pugh评分、肝功能指标等变化情况。结果:A组治疗总有效率为90.0%,显著高于B组的71.7%,差异有统计学意义(P<0.05)。治疗前,2组患者中医证候评分及肝功能指标比较,差异均无统计学意义(P>0.05);治疗后,2组患者中医证候评分、Child-Pugh评分、谷丙转氨酶(ALT)、总胆红素(TBil)等均较治疗前明显降低,血清白蛋白(Alb)则显著提升,差异有统计学意义(P<0.05);其中A组各指标变化幅度均大于B组,差异有统计学意义(P<0.05)。结论:对肝硬化患者予以常规西药联合中医辨证疗法,疗效确切,值得推广应用。
Objective: To investigate the effect of conventional western medicine combined with syndrome differentiation on the clinical effect of patients with liver cirrhosis. Methods: A total of 96 patients with cirrhosis treated in our hospital from February 2012 to April 2014 were selected and divided into group A (n = 50) and group B (n = 46) according to their willingness to treat. Patients in group B were treated with conventional western medicine, while group A was treated with western medicine and traditional Chinese medicine. The difference of clinical curative effect between the two groups was compared. The changes of TCM syndrome score, Child-Pugh score of liver function and liver function index before and after treatment were recorded. Results: The total effective rate of treatment in group A was 90.0%, which was significantly higher than that in group B (71.7%), the difference was statistically significant (P <0.05). Before treatment, TCM syndrome scores and liver function indexes of two groups had no significant difference (P> 0.05). After treatment, TCM syndrome score, Child-Pugh score, ALT, , Total bilirubin (TBil) were significantly lower than before treatment, serum albumin (Alb) was significantly increased, the difference was statistically significant (P <0.05); in which A group of indicators of the magnitude of change were greater than the B group, the difference There was statistical significance (P <0.05). Conclusion: It is worth to popularize and apply conventional western medicine and TCM syndrome differentiation therapy to patients with cirrhosis.