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目的:探讨和研究中西医结合治疗慢性病毒性肝炎肝纤维化的临床效果和治疗要点。方法:将82例慢性病毒性肝炎肝纤维化患者随机分为观察组和对照组各41例,其中对照组采用单纯的西药甘利欣加肌苷片进行治疗;观察组在此基础上加用中药汤剂进行辅助治疗,两组患者治疗时间均为6个月,在治疗结束后统计并对比两组患者的治疗效果,通过超声检查观察肝脏形态学变化以及进行肝功能和纤维化的检查。结果:观察组患者的总有效率和显效率分别为87.80%(36/41)和51.22%(21/41),对照组患者的总有效率和显效率分别为70.73%(29/41)和34.15%(14/41),两组对比差异明显,具有统计学意义(P<0.05)。超声检查肝脏形态学变化以及肝功能和纤维化检查情况显示,观察组均优于对照组,差异具有统计学意义(P<0.05)。结论:中西医结合进行慢性病毒性肝炎肝纤维化的效果明显优于单纯的西药护肝治疗,值得在临床上加以推广和应用。
Objective: To investigate and study the clinical efficacy and treatment of chronic hepatitis B with liver fibrosis treated by integrated traditional Chinese and western medicine. Methods: 82 patients with chronic viral hepatitis and liver fibrosis were randomly divided into observation group and control group, 41 cases in each group, in which the control group was treated with simple Western medicine Ganlixin plus inosine tablets. On the basis of this observation group, Dose of adjuvant therapy. The treatment time of both groups was 6 months. After the treatment, the treatment effect of the two groups was statistically compared and compared. The morphological changes of liver and the examination of liver function and fibrosis were observed by ultrasound examination. Results: The total effective rate and markedly effective rate in observation group were 87.80% (36/41) and 51.22% (21/41), respectively. The total effective rate and effective rate in control group were 70.73% (29/41) and 34.15% (14/41) respectively. The difference between the two groups was significant and statistically significant (P <0.05). Ultrasound examination of liver morphological changes and liver function and fibrosis examination showed that the observation group were better than the control group, the difference was statistically significant (P <0.05). Conclusion: Integrative Chinese and Western medicine for the treatment of chronic viral hepatitis liver fibrosis significantly better than the simple Western medicine liver protection, it is worth to be in the clinical promotion and application.