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首页|期刊导航|中国药物经济学|疏肝化纤汤对乙肝肝硬化代偿期患者肝纤维化指标及炎症因子水平的影响

疏肝化纤汤对乙肝肝硬化代偿期患者肝纤维化指标及炎症因子水平的影响OA

Effect of Shugan Huayxian Decoction on Liver Fibrosis and Inflammatory Factors in Patients with Liver Cirrhosis in Compensatory Stage

中文摘要英文摘要

目的 探讨疏肝化纤汤对乙肝肝硬化代偿期患者肝纤维化及炎症因子水平的影响.方法 选取2021 年1 月至2023年 1 月乐山市中医医院收治的乙肝肝硬化代偿期患者 120 例作为研究对象,随机分为两组,其中对照组(n=60)采用常规治疗,观察组(n=60)在对照组基础上采用疏肝化纤汤治疗.比较两组临床疗效、肝纤维化指标、炎症因子水平及不良反应发生情况.结果 观察组治疗有效率为91.67%,高于对照组的 80.00%(P<0.05).治疗后,观察组透明质酸(HA)、层黏蛋白(LN)、Ⅲ型前胶原肽(PC-Ⅲ)及超敏C反应蛋白(hs-CRP)、白细胞介素-1β(IL-1β)、降钙素原(PCT)水平均低于对照组(P<0.05).两组不良反应发生率比较差异无统计学意义(P>0.05).结论 疏肝化纤汤治疗乙肝肝硬化代偿期能提高临床疗效,改善患者肝纤维化及炎症因子水平,且安全性较高.

Objective To explore the effects of Shugan Huayxian decoction on hepatic fibrosis and inflammatory factors in patients with liver cirrhosis in compensatory stage.Methods A total of 120 patients with hepatitis B cirrhosis at compensatory stage admitted to Leshan Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects and randomly divided into two groups.The control group(n=60)received conventional treatment,and the observation group(n=60)received Shugan Huxian decoction on the basis of the control group.The clinical efficacy,liver fibrosis indexes,inflammatory factors and the occurrence of adverse reactions were compared between the two groups.Results The effective rate of observation group was 91.67%,higher than that of control group 80.00%(P<0.05).After treatment,the levels of hyaluronic acid(HA),laminin(LN),type Ⅲ procollagen peptide(PC-Ⅲ),hypersensitive C-reactive protein(hs-CRP),interleukin-1β(IL-1β)and procalcitonin(PCT)in observation group were lower than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Shugan Huayxian decoction can improve the clinical effect,improve the level of liver fibrosis and inflammatory factors,and has high safety.

张铁成;任亚红

乐山市中医医院肝病科,四川乐山 614000

临床医学

乙肝肝硬化代偿期疏肝化纤汤肝纤维化炎症因子

Compensation period of hepatitis B cirrhosisShugan Huayxian decoctionLiver fibrosisInflammatory factor

《中国药物经济学》 2024 (003)

42-45 / 4

10.12010/j.issn.1673-5846.2024.03.007

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