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目的:探讨护肝祛瘀法联合常规保肝西药治疗肝气郁结及血瘀型酒精性肝硬化的临床疗效,为中西医结合治疗酒精性肝硬化提供理论依据.方法:以我院2015年8月～2016年8月收治的60例酒精性肝硬化患者为研究对象,随机分为两组,分别设观察组与对照组,对照组用常规药物治疗,观察组在常规治疗基础上加护肝祛瘀法治疗.比较两组临床疗效、治疗前后中医症候积分、血常规、肝功能、血脂指标及门静脉宽度.结果:观察组治疗总有效率显著高于对照组(90.00％ vs70.00％),有统计学意义(P＜0.05);治疗前后两组TG、MCV、ALP、AST、ALT、GGT、TBIL差异显著,有统计学意义(P＜0.05),对照组ALB无显著性差异(P＞0.05),治疗后观察组TG、ALP、AST、GGT、ALB、TBIL与对照组差异显著,有统计学意义(P＜0.05),ALT、MCV无显著性差异(P＞0.05);治疗前后两组中医症候积分差异显著,治疗后观察组为(15.67±3.56),显著低于对照组(23.54±4.05),有统计学意义(P＜0.05),两组治疗前后门静脉宽度无显著性差异,治疗后观察组稍低于对照组但无统计学意义(P＞0.05).结论:相较于常规药物治疗,结合中医护肝祛瘀法治疗能显著提高临床疗效,明显缓解临床症状,能够降低血清生化指标,证明中医药结合治疗酒精性肝硬化疗效更加确切.“,”Objective:To discuss the clinical efficacy of applying liver protection removing stasis method combined with hepatoprotective in treating liver-Qi stagnation and blood stasis type alcoholic cirrhosis,so as to provide theory gist for treating alcoholic cirrhosis with combination of traditional Chinese medicine and western medicine.Methods:60cases of patients with alcoholic cirrhosis admitted in our hospital from August 2015 to August 2016 were selected as the object of study and randomly divided into observation group and controlled group.The controlled group was provided with conventional medicine treatment,while the observation group was provided with,in addition to routine treatment,liver protection removing stasis treatment.Two groups were compared for clinical efficacy,TCM symptom integral before and after treatment,blood routine,liver function,serum lipid parameters and the width of portal vein.Results:The total efficacy of the observation group was significantly higher than that of the controlled group (90％ vs 70％),had statistical significance (P＜0.05).There was no distinct difference in TG,MCV,ALP,AST,ALT,GGT and TBIL between the two groups before and after treatment,had statistical significance (P＜0.05).There was no distinct difference in ALB of the controlled group (P＞0.05),and there was significant difference in TG,ALP,AST,GGT,ALB and TBIL between the observation group and the controlled group,had statistical significance (P＜0.05).There was no distinct difference in ALT and MCV (P＞0.05).There was distinct difference in TCM symptom integral between the two groups before and after treatment,and that in the observation group after treatment was (15.67±3.56),which was significantly lower than that in the controlled group (23.54±4.05),had statistical significance (P＜0.05).There was no significant difference in the width of portal vein between the two groups before and after treatment,and after treatment,that of the observation group was a little bit lower than that in the controlled group without statistical significance (P＞0.05).Conclusion:Compared with conventional medicine treatment,TCM liver protection removing stasis method can improve clinical efficacy significantly and relieve clinical symptom dramatically.It can reduce serum biochemical indices,proving TCM therapy combination works excellently in treating alcoholic cirrhosis.