消脂活血饮联合西利宾胺治疗酒精性脂肪肝的临床研究
Clinical Observation on Treatment of Alcoholic Fafly Liver with Xiaozhi Huoxue Oral Liquid and Silybin Meglumine Tablet
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摘要: 目的观察消脂活血饮联合西利宾胺治疗酒精性脂肪肝(AFL)的临床效果。方法将89例酒精性脂肪肝患者随机分成3组,其中中西药结合治疗组29例、中药组30例、西药组30例,3组病人在戒酒的基础上,辅以多种维生素口服,中西药结合组给予复方中药消脂活血饮和西利宾胺,中药组服用复方中药消脂活血饮;西药治疗组给予西利宾胺治疗,评价3组的疗效。结果中西药结合组29例中临床治愈12例,有效15例,无效2例,总有效率93.1%。中药组30例中临床治愈6例,有效12例,无效12例,总有效率60.0%。西药组30例中临床治愈6例,有效11例,无效13例,总有效率56.7%。3组有效率比较有显著性差异(P<0.05)。结论消脂活血饮联合西利宾胺治疗酒精性脂肪肝,综合疗效优于单用西药和中药,具有明显改善临床症状和降低血脂的效果。Abstract: OBJECTIVE To observe the therapeutic effect of Xiaozhi Huoxue Oral Liquid and Silybin Meglumine Tablet used in the treatment of alcoholic fatty liver (AFL).METHOD Eighty-nine AFL patients were divided randomly into three groups,a Chinese and western drug group of 29 patients,a Chinese drug group of 30 patients and a western drug group of 30 patients.Based on alcoholic abstinence,all the patients were given multiple vitamin oral liquids.RESULT The cure rates,effective rates,non-effective rates and total effective rates in the three groups were 12,15,2,93.1%;6,12,12,60.0% and 6,11,13,56.7% respectively,with marked statistical significance(P<0.05).CONCLUSION The therapeutic method combining Xiaozhi Huoxue Oral Liquid and Silybin Meglumine Tablet is more effective than simple Chinese drug or western drug therapies in improving clinical symptoms and reducing blood lipid.