慢性乙型及丙型肝炎临床治疗特点分析

Analysis on Treatment and Clinical Characteristics of Chronic B and C Hepatitis

本文据100例慢性乙型肝炎和50例慢性丙型肝炎进行回顾性分析比较,发现两者均具有男性易感,证候较为相似,肝功能易于波动等特点。但由于两者病毒基因和致病机理不同,存在一定的差异。前者传播途径较多,年龄多分布于18～40岁,多为慢性活动性肝炎,临床以湿热表现较为突出,症候积分较高。后者感染途径单纯,中老年居多,多为慢性迁延性肝炎,临床症候积分较低,选用凉血活血解毒药物疗效好,治疗后总复常率高,波动次数少。

Retrospective comparison was made on 100 cases of chronic B - hepatitis and 50 cases of C chronic hepatitis. It was found that their were several characteristics, including male susceptibility, similar syndrome and fluctuating hepatic functions. However, there were differences, such as more ways of spreading with higher incidence in the age-range from 18 - 42 mostly in active chronic condition in the former group, whereas for the latter group the way of spreading was simple, mostly persistent in its course, and occurred mostly in elderly and middle -aged, due to differences in their viralgene and pathogenesis. For the B-hepatitis group, most patients were of damp-heat type, with high scoring for their syndromes, whereas, for the C - hepatitis, the scoring for syndromes was lower, and can be effectively treated with blood -cooling, blood activating and detoxifying drugs, but the total rate of relapse was higher with Sow frequency of fluctuation.