中医辨证配合四联疗法治疗慢性乙型肝炎58例

中医辨证配合四联疗法治疗慢性乙型肝炎58例 目的探讨慢性乙型肝炎的治疗方法。方法运用中医辨证配合西医四联疗法治疗慢性乙型肝炎58例，对临床疗效进行观察。结果治疗组总有效率82.8%，对照组总有效率为42.9%，疗效明显优于对照组。结论中医辩证配合西医四联疗法治疗慢性乙型肝炎，可以提高临床治疗效果。慢性乙型肝炎；中医辨证；四联疗法；乙肝疫苗Abstract:Objective To discuss the method to cure chronic hepatitis B and to improve the clinical curative effect.Method Combining discriminated Chinese and western medicines 4 couplets treatment to cure 58 examples and to observe the clinical curing effect.Results The curative efficiency of the experimental group reaches 82.8% and the control group 42.9%; the former obviously better than the control group.Conclusion The combination and four couplets treatment curing chronic hepatitis B can improve the clinical curative effect.Key words: chronic hepatitis B；discriminated Chinese medicine；four couplets treatment近年来,笔者运用中医辨证分型配合西医四联疗法治疗慢性乙型肝炎58例，取得一定疗效，报告如下。1一般资料本组病例全部符合1990年上海全国病毒肝炎会议修订的诊断。临床随机分为两组，治疗组58例，男性36例，女性22例；年龄956岁，平均35.3岁；慢性迁延性肝炎35例，慢性活动性肝炎23例；属于肝郁脾虚18例，湿热中阻型29例，肝肾阴虚型7例，瘀血阻络型4例。对照组51例，男性35例，女性16例；年龄1051岁，平均37岁；慢性迁延性肝炎43例，慢性活动性肝炎8例。属于肝郁脾虚18例，湿热中阻型19例，肝肾阴虚型8例，瘀血阻络型6例。2治疗方法2.1治疗组(1)肝郁脾虚型,症见胁肋胀痛，疼痛每因情绪波动而增减，神疲乏力，饮食减少。选用逍遥散加党参、绞股蓝、白花蛇舌草；(2)湿热中阻型，症见胁痛口苦，恶心呕吐，目黄、身黄、小便黄，舌苔黄腻，脉弦数者。选用茵陈蒿汤加蒲公英、败酱草、虎杖；(3)肝肾阴虚型，症见胁肋隐痛，绵绵不休，心中烦热，或夜寐盗汗，口干咽燥，舌红少苔，脉弦细而数者。选用一贯煎合二至丸加制首乌、紫草、板蓝根；(4)瘀血阻络型，症见胁肋刺痛，痛有定处，入夜尤甚，舌质紫暗，脉沉涩者选用血府逐瘀汤加丹皮、紫草、贯众。配合西医乙肝疫苗+左旋咪唑搽剂+潘生丁+微卡,对照组单纯用西药治疗。