中西医结合治疗慢性乙型重型肝炎43例临床观察

Clinical Observation of 43 Cases of Chronic Severe Hepatitis B Treated by Integrated Chinese and Western Medicine

目的:观察中西医结合治疗慢性乙型重型肝炎的临床疗效。方法:将86例慢性乙型重型肝炎患者随机分为治疗组43例,对照组43例。治疗组采用西医常规治疗,加上中医中药辨证治疗。对照组仅予以西医常规治疗。2组治疗前后比较临床存活率和病死率,并观察肝功能及凝血功能变化。结果:治疗结束后,治疗组存活率72.1%,疗效优于对照组的55.9%,且治疗组ALT、TBil、Alb、PTA等实验室指标的定量检测均较对照组有明显改善(P<0.05);同时治疗组治疗前后其肝功能、凝血功能也有显著改善(P<0.05)。结论:中西医结合治疗慢性乙型重型肝炎有较好疗效。

Objective： To observe the effect of integrated Chinese and western medicine on chronic severe hepatitis B. Methods： Eight- six cases were divided at random to treat group （ n = 43 ） , who received a combined regime of routine western treatment and Chinese for- mulas, and control group （ n = 43 ） who were given routine western treatments only. Survival rate, mortality rate, liver function and PTA were measured before and after treatment. Results：Survival rate for the treat group was 72.1% compared with 55.9% for the control group. For the treat group, ALT, TBil, Alb, PTA were significantly lowered and liver functions improved compared with those of the control group （P 〈 0. 05）. Conclusion：Integrated Chinese and western medicine is effective for treating Chronic severe hepatitis B.