中西医结合治疗120例脂肪肝的疗效观察

THE EFFECT OF INTEGRATED TREATMENT OF 120 CASES OF FATTY LIVER

目的:探讨中西医结合治疗脂肪肝的疗效。方法:脂肪肝患者120例,随机分成治疗组80例和对照组40例。治疗组口服中药柴芍六君子汤、膈下逐瘀汤合四逆散、一贯煎合六味地黄汤加减,并加对照组的西药治疗;对照组采用口服脂必妥、多酶片治疗。结果:治疗组有效75例,无效5例,总有效率93.75%;对照组有效19例,无效21例,总有效率47.5%。2组疗效比较有显著性差异(P<0.001)。结论:治疗前后观察患者体重、影像学变化,检测肝功与血脂(TG、TC、HDL、LDL)。两组总有效率分别为93.75%、47.5%,治疗组肝功明显改善,血脂含量下降,肥胖者体重得到有效控制与减轻,声像图也显示肝脏质地的改善,与对照组比较均有显著差异(P<0.05)。脂肪肝的中西医结合治疗疗效明显优于单纯西医治疗。

Objectlve：To explore the therapeutic efficacy of integrated traditional Chinese and western medicine （ITCWM） in treatment of the fatty liver. Methods ：120 cases of the fatty liver were divided randomly into treatment group （80 cases） and control group （40 cases）. Treatment group was treated with modified “chai shao liu jun zi”decoction（柴芍六君子汤） ,“ge xia zhu yu” deeoetion（膈下逐瘀汤） and “si ni san” ,or “yi guan jian he liu wei di huang”deeoetion（一贯煎合六味地黄汤） on the basis of western medicine, control group was treated with zhibiduo pian, and muhienzyme tablets. Results： Seventy -five eases were improved obviously ,5 eases were impotent and total effective rate was 93.7% in treatment group ;Nineteen eases were improved obviously. 21 eases were impotent obviously, and total effective rate was 47.5% in control group. It was obvious different between 2 groups（ P 〈 0. 001 ）. Conclusions ：To observe the patient body weight, the phantom study change, the examination liver function and the blood fats （TG,TC,HDL,LDL）. Two groups of total effectiveness respectively are 93.75% ,47.5% ,the treatment group liver function distinctly improved, the blood fats content drops, the obesity body weight is under the active control and reduced ,the acoustic image chart also demonstrated the liver quality of material the improvement, the control group has the remarkable difference （ P 〈 0.05）. ITCWM treatment has obvious efficacy on fatty liver. It was superior to western medicine treatment.