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1、维生素E联合天晴甘平治疗非酒精性脂肪性肝病临床疗效观刘雅静北京市昌平区医院北京102200作者简介:刘雅静，硕士，主治医师【摘要】I；的探讨维生素E联合天晴甘平治疗非酒精性脂肪性肝病的疗效.方法选择2013年9月至2014年9月期间我院收治的非酒精脂肪性肝病患者59例,将其随机分为对照组29例、治疗组30例，对照组在常规治疗棊础上加用维生素E,治疗组在对照组基础上加用天晴甘平，两组均连续治疗24周，比较两组临床疗效、患者肝功能指标以及血脂变化情况.结果治疗组治疗总有效率为93.33%,对照组治疗总有效率为72.41%，两组比较，差异具有统计学意义(P<0.05);治
2、疗前两组患者各肝功能指标差异不具有统计学意义(P>0.05)，治疗后两组患者各肝功能指标均较治疗前显著改善(P<0.05),丑治疗组改善情况优于对照组(P<0.05);治疗前两组患者血脂水平不存在统计学差异(P〉0.05治疗后治疗组TG水平显著下降(P<0.05而对照组治疗前后血脂水平无差异(P>0.05).结论维生素E联合天晴甘平治疗非酒精性肝病能够有效提高临床疗效,改善患者肝功能以及部分血脂水平，且用药较安全可靠，值得临床推广运用.【关键词】天晴甘平；维生素E;非酒精性脂肪性肝病ObservationoncurativeeffectofVitamineEcomb
3、inedwithTianqingganpingintreatmentofNon—alcoholicFattyLiverDisease(NAFLD).Liuyajing(CangpingdisitrictHospital,Beijing,102200)【Abstract】ObjectiveToinvestigatethecurativeeffectofVitamineEcombinedwithTianqingganpingintreatmentofnon—alcoholicfattyliverdiseases-MethGods59patientswithnon—alc
4、oholicfattyliverdiseasesinseptember2013〜September2014inourhospitalpatients,randomlydividedthemintocontrolgroup29cases,treatmentgroup30cases,controlgroupintheconventionaltreatmentcombinedwithVitamineE,thetreatmentgroupinthecontrolgroupbasedontheuseofTianqingganping,thetwogroupsweretreat
5、edfor24weeks,comparisontheclinicaleffectofthetwogroupsjiverfunctionindicesinpatientswithbloodlipidchanges.Resultslnthetreatmentgroup,thetotaleffectiveratewas93.33%,thecontrolgrouptotaleffectiveratewas72.41%,twogroups,withstatisticallysignifiGcantdifference(P<0.05);thedifferenceofthehep
6、aticfunctionindexesbeforetreatment,patientsinthetwogroupswasnotstatisticallysignificant(P>0.05).AfGterthetreatmentofthehepaticfunctionindexofthetwogroupsofpatientsweresignificantlyimproved(P<0.05),andthetreatmentgrouptoimprovethesituaGtionbetterthanthecontrolgroup(P<0.05);bloodlipidlev
7、elsinthetwogroupsbeforetreatmentwasnotsignificantdifference(P>0.05),bloodlipidlevelsaftertreatmentintreatmentgroupdecreasedsignificantly(P<0.05),whilethecontrolgrouphadnodifferenceinlipidlevelsbeforeandaftertreatment(P>0.05).ConGclusionsVitamineEcombinedwithTianqingganpinginthetreatm
