| Objective:To study the treatment of liver particles nutrilite qi and Yin chronic hepatitis b two empty and blood stasis and reference PE liver particles) treatment of chronic hepatitis b liver and spleen deficiency stomach damp and hot and the clinical curative effect of traditional Chinese medicine, preliminary comparison of chronic hepatitis b, improve the different card type the characteristics and advantages of the same symptoms.Methods:All cases are all derived from the August 2002 to August 2006 hubei university of traditional Chinese medicine hospital liver disease center outpatient service and be in hospital patients with chronic hepatitis b, diagnostic criteria of qualified participants. Among them,44 cases diagnosed qi and Yin has two empty and blood stasis syndrome patients 22 cases in treatment group, for I; Already diagnosed with courage hot and humid and stomach type 22 cases for pixu (spleen deficient, II treatment group. All use proprietary Chinese medicine granule TCM syndrome differentiation treatment. Observed before and after treatment main symptoms, signs (flank pain, fatigue, NaCha, abdominal distension, loose stools, annoyed), liver function, type-b ultrasonic to evaluate Chinese medicine changes of chronic hepatitis B patients improved clinical symptoms, drop the effect of enzyme.Results:1 Before treatment, two groups of clinical symptoms (flank pain, fatigue, NaCha, abdominal distension, loose stools, annoyed, there were no statistically significant) compare (P>0.05), two groups that clinical symptoms comparable. One flank pain, fatigue, two groups NaCha, abdominal distension treatment before-and-after can significantly improve (P<0.01), two groups of comparisons are between before and after the treatment could significantly improve (P<0.01). Loose stools and boredom two groups are improved after treatment (P<0.05), after treatment, loose stools first marchⅠtreatment group than whenⅡtreatment group have improved (P<0.05), annoyed when the first monthⅡtreatment group than in the I treatment group have improved (P<0.05).2 Two groups before and after therapy first ALT 1,2,3 months, the dynamic observations are decreased gradually extended and with treatment (P< 0.01), explain two treatment groups all have lower ALT curative effect;Ⅰafter therapy treatment group ALT 1,2,3 months compared withⅡrespectively in treatment group, all have statistically significant (P<0.05), this means that two proprietary Chinese medicine can improve liver damage granules are all the role.3 Two groups before and after therapy AST 1,2,3 months, the dynamic observations are decreased gradually extended and with treatment (P<0.01), explain two treatment groups all have lower AST curative effect;Ⅰtreatment groups in treatment after the AST 1,2,3 months compared withⅡrespectively in treatment group, all have statistically significant (P<0.05), this means that two proprietary Chinese medicine can improve liver damage granules are all the role.4 Two groups before and after therapy AKP 1,2,3 months of dynamic observation, linearly with treatment low gradually, extended andⅠtreatment group (P<0.01),Ⅱtreatment group (P<0.05). After treatment,1,2 months, two groups of comparisons was statistically significant (P>0.05). When the first 3 months of treatment, two groups of comparisons are statistically significant (P<0.05), this means that two proprietary Chinese medicine particles were decreased AKP long-term effects.5 Two groups after treating A/G compared with before treatment, there were no statistically significant (P>0.05). After treatment,1,2,3 months, two groups of comparisons, there were no statistically significant (P>0.05).6 Two groups before and after therapy TBIL 1,2,3 months of dynamic observation, as treatment decreased gradually extended and (P<0.05). For 1,2 months, two groups of comparisons was statistically significant (P>0.05). The treatment of three months, two groups of comparisons, a statistically significant (P<0.05), this means that two proprietary TBIL granules are all with lower long-term effects.7 Two groups before and after treatment DBIL in 1,2,3 months of dynamic observation, decreased gradually extended and with treatment (P<0.05). For 1,2 months, two groups of comparisons was statistically significant (P>0.05). The treatment of three months, two groups of comparisons, a statistically significant (P<0.05), this means that two proprietary Chinese medicine with lower DBIL forward role particles.8 Two groups B exceeds compared before and after the treatment improvement was not statistically significant (P>0.05).9 Two groups of drop I comprehensive effect comparison, enzyme treatment group 31.82% 9.09% significant efficiency, effectiveness, the total effectiveⅡtreatment group 40.91%, 13.64% significant efficiency) and total effective, efficient 50%, two groups of comparisons was statistically significant (P >0.05).Conclusion:Healthy liver particles and reference PE liver particles) there are improvements to the chronic hepatitis b syndrome in improving efficacy, stalking, pain, fatigue, NaCha, abdominal distension particularly remarkable curative effect; symptoms In liver function, rehabilitation liver particles and reference to reduce PE liver particles) with apparent curative effect and the AST ALT, reduce DBIL therapeutic TBIL and in improving A/G, without apparent curative effect; In improving B super situation in did not see the obvious curative effect; In two groups came enzyme before and after the treatment has curative effect. |
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