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中文摘要: 目的 观察天麻钩藤饮加减联合西药治疗肝硬化合并高血压的疗效及生存质量。方法 收集在阜新市传染病医院肝病科治疗的肝硬化合并高血压患者160例,分为对照组80例,中西医结合治疗组80例。两组患者均进行抗病毒、抗纤维化等常规西医治疗,中西医结合治疗组在常规西医治疗的基础上给予中药治疗,观察患者治疗前后静脉血中亮氨酸氨基肽酶(LAP)、低密度脂蛋白胆固醇(LDL-C)水平变化情况并比较检测值的差异,对两组患者生存质量进行评估。结果 两组患者治疗前后亮氨酸氨基肽酶(LAP)明显降低(P<0.05),组间比较差异明显(P<0.05);两组患者治疗前后低密度脂蛋白胆固醇(LDL-C)明显降低(P <0.05),组间比较差异明显(P<0.05)。两组患者治疗后相比,中西医结合组焦虑抑郁水平改善明显,两组比较差异有统计学意义。中西医结合治疗组生活质量评分明显优于对照组,两组比较差异明显(P<0.05)。 结论 天麻钩藤饮加减联合西药治疗肝硬化合并高血压的疗效较好,能够改善患者的生存质量,调整患者的心理状态,值得临床推广应用。
Abstract:OBJECTIVE To observe the efficacy and quality of life of Tianma Gouteng Decoction combined with western medicine in the treatment of cirrhosis with hypertension.METHODS A total of 160 patients with liver cirrhosis and hypertension were enrolled in the Department of Hepatology, Fuxin Infectious Disease Hospital. They were divided into 80 cases in the control group and 80 cases in the integrated Chinese and Western medicine treatment group. Both groups were treated with antiviral and antifibrosis. Western medicine treatment, combined with traditional Chinese medicine treatment on the basis of traditional Chinese medicine treatment, observe the changes of leucine aminopeptidase(LAP), low-density lipoprotein cholesterol(LDL-C) levels in patients with venous blood before and after treatment and compare the test results Differences were made and the quality of life of both groups was assessed.RESULTS The leucine aminopeptidase(LAP) was significantly lower in the two groups before and after treatment(P<0.05). There was significant difference between the two groups(P<0.05). Low-density lipoprotein cholesterol (LDL-C) before and after treatment in the two groups. Significantly decreased(P <0.05), the difference between groups was significant(P<0.05). The quality of life scores of the two groups were significantly higher than those of the control group (P<0.05).CONCLUSION Tianma Gouteng Decoction combined with Western medicine is effective in treating liver cirrhosis with hypertension. It can improve the quality of life of patients and adjust the psychological state of patients. It is worthy of clinical application.
keywords: cirrhosis with hypertension integrated Chinese and Western medicine psychological assessment quality of life assessment LAP LDL-C
文章编号:3201903023 中图分类号:R575.2 文献标志码:
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