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1、小柴胡汤合升降散在慢性乙型肝炎中疗效观察［摘要］目的探讨小柴胡汤合升降散在慢性乙型肝炎中的疗效。方法选取2008年1月〜2011年1月84例慢性乙型肝炎患者，将其随机分为对照组(西医治疗组)42例和观察组(小柴胡汤合升降散组)42例，对两组总有效率、不良反应发生率、治疗前后的血流动力学、免疫球蛋白及其补体水平进行统计及比较。结果观察组临床总有效率(97.62%)高于对照组(88.09%),不良反应发生率(0)低于对照组(14.28%),血流动力学［门静脉内径(1.07±0.08)cm、门静脉血流速度(17.02±1.72)cm/s、门静脉血流量(881.43±12
2、5.70)mL/min］、免疫球蛋白及其补体［IgA(2.70±0.23)g/L.IgG(10.52±1.23)g/L、IgM(0.91±0.14)g/L、C3(1.39±0.18)g/L、C4(0.30±0.04)g/L］均优于对照组［门静脉内径(1.18±0.10)cm、门静脉血流速度(15.43±1.68)cm/s、门静脉血流量(921.33±117.86)mL/min、IgA(3.02土0.20)g/L、IgG(11.98土1.20)g/L、IgM(0.80±0.15)g/L,C3(0.93±0.15)g/L.C4(0.22±0.04)g/L］,差异均有统
3、计学意义(均PV0.05)o结论小柴胡汤合升降散在慢性乙型肝炎中的疗效好，安全性高，对于患者的免疫状态及肝脏状态的改善有积极的作用。［关键词］小柴胡汤合升降散；慢性乙型肝炎；疗效；免疫状态；肝脏状态［中图分类号］R259.414［文献标识码］A［文章编号］1673-7210(2012)01(c)-0109-02ObservationontheeffectofXiaoChaihuDecoctioncombinedwithShengjiangPowderinthetreatmentofchronichepatitisBLIKaijielLIUYuqin2LIBaoju
4、nlWANGQinglanlQIYuxin21.TCMHospitalofQianxiCounty,HebeiProvince,Qianxi064300,China；2.ThePeoplefsHospitalofQianxiCounty,HebeiProvince,Qianxi064300,China［Abstract］ObjectiveTostudytheeffectofXiaoChaihuDecoctioncombinedwithShengjiangPowderinthetreatmentofchronichepatitisB・Methods84patient
5、swithchronichepatitisBfromJanuary2008toJanuary2011wereselectedasresearchobjects,andtheywererandomlydividedintocontrolgroup(Westernmedicinetherapygroup)with42casesandobservationgroup(XiaoChaihuDecoctioncombinedwithShengjiangPowdergroup)with42cases,andthetotaleffectrate,incideneeofadver
6、sereactions,hemodynamicsindexes,immunoglobulinlevelanditscomplementbeforeandafterthetreatmentoftwogroupswereanalyzedandcompared・ResuItsThetotaleffectrateofobservationgroup(97.62%)washigherthanthat(88.09%)ofcontrolgroup,incidenceofadversereactions(0)waslowerthanthat(14.28%)ofcontrolgro
7、up,haemodynamicsindexes[diameterofportalvein(1.07+0.08)cm,bloodflowvelocityofportaivein(17.02+1.72)cm/s,bloodflowofportalvein(881.43+125.70)mL/min],immunoglobulinlevelanditscomplement[IgA(2.70±0.23)g/L,IgG(10.52±1.23)g/L,IgM(0.91±0.14)g/L,C3(1.39±0.18)g/L,C4(0.30±0.04)g/L]wereallbette
8、rthan
