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目的:观察中医药治疗非酒精性脂肪肝的疗效及对肝脏CT值的影响,并评价CT对非酒精性脂肪肝的诊断、疗效评定作用。方法:将60例非酒精性脂肪肝患者平均分为治疗组及对照组,治疗组用消脂护肝胶囊、当飞利肝宁胶囊,对照组用壳脂胶囊、水飞蓟宾胶囊。观察患者治疗2个月前后的症状体征、肝功能、血脂、超声、肝脏CT值变化。结果:治疗组患者肝功能、血脂、肝脏CT值明显改善,效果优于对照组;从中发现CT可准确诊断脂肪肝的程度并对疗效进行评价,而超声报告没有具体数据,不便统计。结论:治疗组对非酒精性脂肪肝疗效显著,CT是非酒精性脂肪肝诊断及疗效评价的重要指标。
Objective: To observe the curative effect of traditional Chinese medicine on non-alcoholic fatty liver and its effect on CT value of the liver, and evaluate the diagnosis and curative effect of CT on non-alcoholic fatty liver. Methods: Sixty patients with non-alcoholic fatty liver were divided equally into treatment group and control group. The treatment group was treated with Xiaozhi Liver Capsule, Fei Li Gan Ning Capsule and the control group with shell fat capsule and silybin capsule. The symptoms and signs, liver function, blood lipid, ultrasound and CT value of liver were observed before and 2 months after treatment. Results: The liver function, blood lipids and liver CT value of the treatment group were significantly improved and the effect was better than that of the control group. It was found that CT could accurately diagnose the degree of fatty liver and evaluate the curative effect. However, the ultrasound report did not have specific data and inconvenienced statistics. Conclusion: The treatment group has a significant effect on non-alcoholic fatty liver and CT is an important index for diagnosis and evaluation of non-alcoholic fatty liver disease.