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中国临床研究:2021,34(1):102-106
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柴胡当归散治疗少阳太阴合病证乙肝肝硬化腹水
(1.广西中医药大学研究生院,广西 南宁 530000;2.柳州市中医医院,广西 柳州 545000)
Chaihu Danggui powder in the treatment of ascites due to hepatitis B cirrhosis with Shaoyang-Taiyin disease and symptoms
摘要
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投稿时间:2020-04-07   网络发布日期:2021-01-20
中文摘要: 目的 观察柴胡当归散治疗少阳太阴合病证乙肝肝硬化腹水的疗效,为柴胡当归散治疗乙肝硬化腹水提供临床依据。 方法 选取广西中医药大学第三附属医院柳州市中医医院2018年9月至2019年12月113例在消化科收治的少阳太阴合病证乙肝肝硬化腹水患者,按照随机数字表法分为治疗组(57例)和对照组(56例)。对照组采用西医常规治疗,治疗组在西医常规治疗基础上联合柴胡当归散,比较两组患者治疗前后临床综合疗效(水肿、腹围、24 h尿量、体重)、腹胀缓解时间、中医证候积分、生活质量调查表(SF-36)评分的变化。 结果 治疗组患者总有效率96.49%,对照组总有效率80.36%,治疗组总有效率优于对照组(P<0.01);两组患者治疗后中医证候积分、SF-36评分均较治疗前显著改善(P均<0.05);治疗后治疗组中医证候积分、腹胀缓解时间、SF-36评分均优于对照组(P<0.05,P<0.01)。 结论 柴胡当归散治疗少阳太阴合病证乙肝肝硬化腹水,疗效显著,不良反应少,安全性高。
Abstract:Objective To observe the therapeutic effect of Chaihu Danggui powder on ascites due to hepatitis B cirrhosis with Shaoyang-Taiyin disease and symptoms to provide clinical basis for the treatment of ascites caused by hepatitis B cirrhosis. Methods A total of 113 patients with ascites due to hepatitis B cirrhosis with Shaoyang-Taiyin disease and symptoms treated from September 2018 to December 2019 were selected and divided into treatment group (n=57) and control group (n=56) according to the random number table method.The routine conventional therapy was given in control group,and Chaihu Danggui powder was given on the basis of routine conventional treatment in treatment group.The comprehensive effects (including on edema,abdominal circumference,24h urine volume,weight),abdominal distension relief time,Traditional Chinese medicine(TCM) syndrome and SF-36 quality of life questionnaire (SF-36) were observed and compared between two groups. Results After treatment,the total effective rate in treatment group was significantly higher than that in control group (96.49% vs 80.36%,P<0.01).TCM syndrome score and SF-36 score were significantly improved compared with those before treatment in two groups (all P<0.05),and TCM syndrome score,SF-36 score and abdominal distension relief time in treatment group were better than those in control group (P<0.05,P<0.01). Conclusion In the treatment of ascites due to hepatitis B cirrhosis with Shaoyang-Taiyin disease and symptoms,Chaihu Danggui powder is effective with less adverse reactions and high safety.
文章编号:     中图分类号:    文献标志码:B
基金项目:国家自然科学基金项目(81760855);柳州市肝病临床医学研究中心项目 (2018AF10503);广西区域中医诊疗中心建设项目(03.0080)
引用文本:
阮博文 ,,周晓玲 ,覃凤传 ,等.柴胡当归散治疗少阳太阴合病证乙肝肝硬化腹水[J].中国临床研究,2021,34(1):102-106.

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