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消脂保肝饮加减治疗非酒精性脂肪性肝病的临床疗效观察
引用本文:虞胜,李勇,祝峻峰,余莉芳.消脂保肝饮加减治疗非酒精性脂肪性肝病的临床疗效观察[J].上海中医药大学学报,2011(3):46-48.
作者姓名:虞胜  李勇  祝峻峰  余莉芳
作者单位:上海中医药大学附属市中医医院消化科;
基金项目:上海市自然科学基金资助项目(09ZR1429700); 上海市教委科研创新项目(09YZ134)
摘    要:目的:探讨中药消脂保肝饮治疗非酒精性脂肪性肝病的临床疗效。方法:将62例非酒精性脂肪性肝病患者随机分成治疗组(n=32)和对照组(n=30)。治疗组给予消脂保肝饮加减治疗,对照组给予易善复片、肝勃宁胶囊治疗,疗程均为3个月。观察两组患者的临床疗效及治疗前后血脂、肝功能指标、肝脏B超的变化,同时观察并记录所有患者的不良反应,评价治疗药物的安全性。结果:治疗组与对照组的临床总有效率分别为90.6%和70.0%,两组比较有显著性差异(P<0.01)。治疗后,两组患者的ALT、AST、TC、TG、γ-GT水平均显著降低(P<0.01),但治疗组与对照组同期比较,差异不具有统计学意义(P>0.05);两组患者的肝脏B超病情分级均明显改善(P<0.01),且治疗组改善较对照组更加明显(P<0.05)。服药过程中两组患者均未见不良反应发生。结论:消脂保肝饮具有降低血脂、改善肝功能的作用,且能明显改善患者的临床症状。

关 键 词:消脂保肝饮  非酒精性脂肪性肝病  中医药疗法

Clinical Effects of Xiaozhi Baogan Decoction in Treating Nonalcoholic Fatty Liver Disease
YU Sheng LI Yong ZHU Jun-feng YU Li-fang.Clinical Effects of Xiaozhi Baogan Decoction in Treating Nonalcoholic Fatty Liver Disease[J].Acta Universitatis Traditionis Medicalis Sinensis Pharmacologiaeque Shanghai,2011(3):46-48.
Authors:YU Sheng LI Yong ZHU Jun-feng YU Li-fang
Affiliation:YU Sheng LI Yong ZHU Jun-feng YU Li-fangDepartment of Gastroenterology,Shanghai Municipal Hospital of Traditional Chinese MedicineAffiliated to Shanghai University of Traditional Chinese Medicine
Abstract:Objective: To explore the clinical effects of Xiaozhi Baogan Decoction in the treatment of nonalcoholic fatty liver disease(NAFLD).Methods: Sixty-two subjects with NAFLD were randomized into two groups: treatment group in which 32 cases were treated with Xiaozhi Baogan Decoction and control group in which 30 cases were treated with Polyene Phosphatidylcholine Tablet and Ganboning Capsule,with a course of three months.The clinical effects,the indexes of liver function and blood lipid,and the changes of B typ...
Keywords:Xiaozhi Baogan Decoction  nonalcoholic fatty liver disease  Chinese medical therapy  
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