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首页|期刊导航|河北中医|疏肝醒脾通络汤联合复方甘草酸苷胶囊治疗乙型肝炎肝硬化肝郁脾虚证临床研究

疏肝醒脾通络汤联合复方甘草酸苷胶囊治疗乙型肝炎肝硬化肝郁脾虚证临床研究

张洋洋 王森 武步涛

河北中医2026,Vol.48Issue(8):1268-1271,4.
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河北中医2026,Vol.48Issue(8):1268-1271,4.DOI:10.3969/j.issn.1002-2619.2026.08.007

疏肝醒脾通络汤联合复方甘草酸苷胶囊治疗乙型肝炎肝硬化肝郁脾虚证临床研究

Clinical study of Shugan Xingpi Tongluo Decoction combined with compound glycyrrhizin capsules in the treatment of hepatitis B virus-related liver cirrhosis with liver depression and spleen deficiency syndrome

张洋洋 1王森 2武步涛1

作者信息

  • 1. 河南省开封市第二中医院门诊部,河南 开封 475000
  • 2. 河南省中医院急诊科,河南 郑州 450000
  • 折叠

摘要

Abstract

Objective To evaluate the value of Shugan Xingpi Tongluo Decoction combined with compound glycyrrhizin capsules in patients with hepatitis B virus-related liver cirrhosis(HBLC)and liver depression-spleen deficiency syndrome.Methods A total of 98 patients with HBLC and liver depression-spleen deficiency syndrome were assigned to two groups by envelope randomization.The control group(n=49)received compound glycyrrhizin capsules,while the treatment group(n=49)received Shugan Xingpi Tongluo Decoction in addition to the same regimen.Both groups were treated for 8 weeks.Before and after treatment,traditional Chinese medicine(TCM)symptom scores,liver function indices(alanine aminotransferase[ALT],total bile acid[TBA],total bilirubin[TBiL]),and inflammatory indices(leptin[Lep],interferon-γ[IFN-γ],interleukin-6[IL-6])were compared.Clinical efficacy was also recorded in both groups.Results The total effective rate was 95.92%(47/49)in the treatment group and 81.63%(40/49)in the control group,indicating superior clinical efficacy in the treatment group(P<0.05).After treatment,all TCM symptom scores decreased in both groups compared with pre-treatment values(P<0.05),and were lower in the treatment group than in the control group(P<0.05).After treatment,ALT,TBA,and TBiL levels decreased in both groups compared with pre-treatment values(P<0.05),and were lower in the treatment group than in the control group(P<0.05).After treatment,Lep,IFN-γ,and IL-6 levels decreased in both groups compared with pre-treatment values(P<0.05),and were lower in the treatment group than in the control group(P<0.05).Conclusion Shugan Xingpi Tongluo Decoction combined with compound glycyrrhizin capsules is effective for HBLC with liver depression and spleen deficiency syndrome.It can improve liver function,relieve symptoms,and reduce inflammatory responses.

关键词

乙型肝炎/肝硬化/中西医结合疗法

Key words

Hepatitis B/Liver cirrhosis/Integrated traditional Chinese and Western medicine treatment

分类

医药卫生

引用本文复制引用

张洋洋,王森,武步涛..疏肝醒脾通络汤联合复方甘草酸苷胶囊治疗乙型肝炎肝硬化肝郁脾虚证临床研究[J].河北中医,2026,48(8):1268-1271,4.

河北中医

1002-2619

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