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[目的]探究与分析解毒化瘀颗粒联合西医综合疗法用于慢性乙型肝炎重症化倾向期的临床疗效及预后。[方法]选取我院自2013年4月~2015年4月收治的60例慢性乙型肝炎重症化倾向期患者,采取随机数字表法分为对照组与试验组,每组各30例,对照组仅给予西医综合治疗,试验组在其基础上加用解毒化瘀颗粒治疗,对比2组患者临床疗效、肝功能、凝血功能及HBV-DNA改善情况。[结果]对照组总有效率为73.33%,试验组总有效率为93.33%,试验组总有效率明显高于对照组(P<0.05)。2组治疗前Tbil、Dbil、ALB、ALT、CHE水平比较差异无统计学意义(P>0.05),2组治疗后较治疗前比较上述指标均有所改善,其中试验组较对照组比较上述指标改善更加显著(P<0.05)。2组患者治疗前PT及PTA水平比较差异无统计学意义(P>0.05),2组治疗后较治疗前比较上述指标均有所改善,其中试验组较对照组比较上述指标改善更加显著(P<0.05),但2组治疗后HBV-DNA水平比较差异无统计学意义(P>0.05)。[结论]采用解毒化瘀颗粒联合西医综合疗法用于慢性乙型肝炎重症化倾向期的临床疗效显著,肝功能及凝血功能得到有效改善,预后较好,值得推广与应用。
[Objective] To explore and analyze the clinical curative effect and prognosis of detoxification and blood stasis granule combined with western medicine comprehensive therapy in the tendencies of severe chronic hepatitis B. [Methods] Sixty patients with severe chronic hepatitis B who were admitted to our hospital from April 2013 to April 2015 were randomly divided into control group and trial group, with 30 cases in each group. The control group Group was given only Western comprehensive treatment, the experimental group on the basis of plus detoxification and blood stasis particles treatment, the clinical efficacy of two groups were compared, liver function, coagulation and HBV-DNA improvement. [Results] The total effective rate of the control group was 73.33%, the total effective rate of the experimental group was 93.33%. The total effective rate of the experimental group was significantly higher than that of the control group (P <0.05). There was no significant difference in Tbil, Dbil, ALB, ALT and CHE between the two groups before treatment (P> 0.05). The above indexes were improved in both groups before and after treatment, in which the above indexes The improvement was more significant (P <0.05). There was no significant difference in PT and PTA levels between the two groups before treatment (P> 0.05). After treatment, the above indexes were improved in both groups compared with those before treatment, in which the improvement of the above indexes was more significant <0.05). However, there was no significant difference in HBV-DNA levels between the two groups after treatment (P> 0.05). [Conclusion] The clinical curative effect of detoxification and blood stasis granule combined with western medicine comprehensive therapy in the severe stage of chronic hepatitis B is significant, the liver function and blood coagulation function are effectively improved, the prognosis is good, and it is worth popularizing and applying.