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目的观察中西医结合治疗酒精性肝硬化伴黄疸的临床疗效。方法选择52例以黄疸为主要临床表现的酒精性肝硬化患者,随机分为对照组与治疗组,对照组给予西医常规治疗,治疗组在对照组治疗的基础上加用中药治疗。结果对照组显效4例,有效11例,总有效率62.5%;治疗组显效10例,有效15例,总有效率89.3%。2组总有效率比较,差异有统计意义(P<0.05)。2组患者治疗后谷丙转氨酶(GPT)、谷草转氨酶(GOT)、γ-谷氨酰转肽酶(γ-GT)、总胆红素(TBIL)均显著降低,与同组治疗前比较,差异有统计意义(P<0.05);治疗后治疗组GOT,γ-GT,TBIL显著降低,与对照组比较差异有统计意义(P<0.05)。结论中西医结合治疗酒精性肝硬化伴黄疸疗效满意。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of alcoholic cirrhosis with jaundice. Methods Fifty-two patients with alcoholic cirrhosis with jaundice as the main clinical manifestations were randomly divided into control group and treatment group. The control group was given conventional western medicine. The treatment group was treated with traditional Chinese medicine on the basis of the control group. Results In the control group, 4 cases were markedly effective and 11 cases were effective. The total effective rate was 62.5%. In the treatment group, 10 cases were markedly effective and 15 cases were effective. The total effective rate was 89.3%. The total effective rate of 2 groups, the difference was statistically significant (P <0.05). After treatment, the GPT, GOT, γ-GT and TBIL of the two groups were significantly decreased. Compared with the same group before treatment, (P <0.05). After treatment, the GOT, γ-GT and TBIL in the treatment group were significantly lower than those in the control group (P <0.05). Conclusion Integrative treatment of alcoholic cirrhosis with jaundice is satisfactory.