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中药自拟方治疗慢性乙型肝炎的临床观察 被引量:1

Clinic obserration on the efficaey of jiangan capsule in the treatment of chronic hepatitis
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摘要 目的观察健肝胶囊对慢性乙型肝炎的疗效。方法68例中度慢性乙型肝炎随机分为两组,治疗组给予中药自拟方健肝胶囊口服,每日三次,每次6~8粒,连服1个月为一疗程,根据病情可连服2~3个疗程;对照组给服大黄蛰虫丸,疗程同前。在服药期间定期查肝功能、γ球蛋白、血清透明质酸、Ⅲ型前胶原肽、Ⅳ型胶原和层粘蛋白。结果治疗组丙氨酸氨基转移酶、天门冬氨酸氨基转移酶和总胆红素下降速度明显快于对照组;自觉症状的改善情况也好于对照组:三个疗程后治疗组各项肝纤维化指标以及γ球蛋白均较治疗前显著下降(P<0.01),而对照组变化不甚明显。结论健肝胶囊对慢性肝炎有良好的抗纤维化和改善肝功能作用。 Objective To observe the therapeutic efficacy of JianGan Capsule on chronic hepatitis B.Methods 68 cases with chronic hepatitis B were randomly divided into two groups, the therapy group received 6-8 pills of JianGan Capsule three times a day for 2-3 months, the control group received 3 g of Dahuang Zhichong pills three times a day. During the course of study, liver function, γ-globulin, serum hyaluronic acid (HA)、procollagen Ⅲ( PCⅢ), collagen Ⅳ( C- Ⅳ) and laminin (LN) were regularly detected by chemical method, electrophoreses and radioimmunoassay, respectively. Results The serum alanine aminotransferase ( ALT ), aspartate aminotransferase ( AST ), and total bilirubin (TB) decreased much faster in therapy group than control group. After 3 courses of JianGan treatment, serum HA, PC Ⅲ C-Ⅳ, LN and γ-globulin reduced significantly as compared with basal values( P〈0.01 ), while patients received Dahuang Zhichong pills had no significant changes in serum HA,PCⅢ ,C-Ⅳ ,LN and γ-globulin. Conclusion JianGan Capsule has good therapeutic efficacy on chronc hepatitis B in anti-liver fibrosis and improving hver function.
出处 《中国临床保健杂志》 CAS 2005年第4期326-328,共3页 Chinese Journal of Clinical Healthcare
基金 江苏省镇江市科技指导(社会发展)项目(SH01058)
关键词 肝炎 乙型 慢性 肝纤维化 中药疗法 Hepatitis B, Chronic Liver fibrosis Pharmacotherapy, TCD
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