摘要
Abstract
Objective To investigate the therapeutic effect of Ziyin Huoxue decoction and entecavir in the treatment of decompensated hepatitis B cirrhosis.Methods 98 cases of chronic hepatitis B cirrhosis treated at our hospital from January,2012 to January,2014 were randomly divided into a control group and a treatment group,49 cases for each group.The control group was given symptomatic support treatment and took entecavir;in addition,the treatment group was treated with Ziyin Huoxue decoction.3 months was 1 treatment course.Both groups were treated 3 courses.The patients were followed up.The liver fibrosis indicators,hepatitis B virus markers,and liver function indicators were compared between these two groups.Results The ALT recovery rates were 73.5%,83.7%,89.8%,and 91.8% in the treatment group,which were significantly higher than those in the control group,with statistical differences (all P < 0.05).The HBV DNA negative rates were 73.5%,79.6%,85.7%,and 91.8% in the treatment group,which were significantly higher than those in the control group,with statistical differences (all P < 0.05).The total efficacy was 95.9% in the treatment group and 59.2% in the control group,with a statistical difference (P < 0.05).The obviously effective rate was 73.5% in the treatment group and 26.5% in the control group,with a statistical difference (P < 0.05).The HA,procollagen type Ⅲ,and type Ⅳcollagen were better in the treatment group than in the control group,with statitical differences (all P < 0.05).Conclusions Ziyin Huoxue decoction and entecavir in the treatment of decompensated hepatitis B cirrhosis can significantly improve the patients' clinical symptoms and improve clinical curative effect and is safe and reliable,so it is worth being clinically generalized.关键词
滋阴活血汤/恩替卡韦/代偿期乙型肝炎肝硬化Key words
Ziyin Huoxue decoction/Entecavir/Decompensated hepatitis B cirrhosis