【摘要】 目的观察针药结合治疗脂肪性肝病的临床疗效。方法将158例患者随机分为治疗组80例和对照组78例,治疗组采用自拟祛脂三味方结合针灸治疗,对照组予易善复治疗。两组均3个月为1个疗程,2个疗程后观察患者临床症状、血脂、血糖、肝脾CT比值、体质量指数(BM I)的变化情况。结果治疗组、对照组总有效率分别为90.0%、82.1%,组间临床疗效比较,差异有统计学意义(P<0.05)。治疗组治疗后各主要临床症状均有改善(P<0.05),而对照组无明显变化(P>0.05);组间治疗后比较,各主要临床症状差异均有统计学意义(P<0.05)。两组治疗后血脂指标均有改善(P<0.05),血糖治疗前后差异无统计学意义;组间治疗后比较,血脂、血糖差异均无统计学意义(P>0.05)。两组治疗后肝脾CT比值、BM I较治疗前均有改善(P<0.05);组间治疗后比较,差异均有统计学意义(P<0.05)。结论祛脂三味方结合针灸治疗脂肪性肝病取效良好。更多还原

【Abstract】 Objective To observe the clinical effects of acupuncture and herbs in the treatment of fatty liver disease.Methods One hundred and fifty-eight cases were randomized into two groups: 80 cases in the treatment group were treated with "Quzhi Sanwei Decoction" and acupuncture,and control group in which 78 cases in control group were treated with Polyene Phosphatidylcholine Capsules,with a course of six months.The clinical symptoms and signs,blood lipid,blood glucose,liver-spleen ratio and BMI were observed in two groups.Results The total effective rate was 90.0% in the treatment group and 82.1% in the control group,with a difference between the two groups(P<0.05).After treatment,the clinical symptoms and signs were improved in the treatment group(P<0.05),and improved little in the control group(P>0.05),with more significant improvement in the treatment group than in the control group(P<0.05).The blood lipid was reduced in the two groups(P<0.05),while the blood glucose reduced little(P>0.05);There was no significant difference in the blood lipid and blood glucose between the two groups(P>0.05).The liver-spleen ratio and BMI were improved after treatment in the two groups(P<0.05),with significant differences between the two groups(P<0.05).Conclusion Combined "Quzhi Sanwei Decoction" and acupuncture has positive effects on fatty liver disease.更多还原