CT在中医药诊疗非酒精性脂肪肝临床中的应用

Role of CT in diagnosis and treatment of non-alcoholic fatty liver by TCM

目的:观察中医药治疗非酒精性脂肪肝的疗效及对肝脏CT值的影响,并评价CT对非酒精性脂肪肝的诊断、疗效评定作用。方法:将60例非酒精性脂肪肝患者平均分为治疗组及对照组,治疗组用消脂护肝胶囊、当飞利肝宁胶囊,对照组用壳脂胶囊、水飞蓟宾胶囊。观察患者治疗2个月前后的症状体征、肝功能、血脂、超声、肝脏CT值变化。结果:治疗组患者肝功能、血脂、肝脏CT值明显改善,效果优于对照组;从中发现CT可准确诊断脂肪肝的程度并对疗效进行评价,而超声报告没有具体数据,不便统计。结论:治疗组对非酒精性脂肪肝疗效显著,CT是非酒精性脂肪肝诊断及疗效评价的重要指标。

Objective： To observe the curative effect of traditional Chinese medicine on non-alcoholic fatty liver patients and CTN （computerized tomographynumber） of liver, than to appraise the role of assessment and diagnosis on non-alcoholic fatty liver for CT. Methods： 60 patients with non-alcoholic fatty liver were divided into treatment group and contrast group in average, the patients in treatment group were treated by Xiaozhihugan capsule and Dangfeiliganning capsule, and those in contrast group were treated by Kezhi capsule and Shuifeijibin capsule. Changes of symptom, liver function, blood fat, ultrasonic report and liver CTN were observed. Results： In the treat group, the liver function, blood fat and liver CT value were improved obviously, which had superiority to that of contrast group. CT can diagnose the degree of fatty liver accurately and appraise curative effect, but ultrasonic report has no specific data and is inconvenient to statistics. Conclusions： Treatment group has notable curative effect on non-alcoholic fatty liver; CT is the important index of diagnosis and appraisement of curative effect on non-alcoholic fatty liver.