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中药辨证治疗对慢性乙型肝炎病毒复制的影响
引用本文:吕文良,陈兰羽,闫洁,万方. 中药辨证治疗对慢性乙型肝炎病毒复制的影响[J]. 辽宁中医杂志, 2009, 0(2): 165-167
作者姓名:吕文良  陈兰羽  闫洁  万方
作者单位:中国中医科学院广安门医院感染疾病科;
基金项目:2005年中国中医科学院优势病种项目(820106)
摘    要:
目的:观察中药辨证论治对慢性乙型肝炎病毒复制的影响。方法:采用两中心前瞻性队列研究的方法,暴露组84例于广安门医院肝病门诊接受中医辨证治疗;非暴露组40例于佑安医院接受LAM治疗。两组疗程均为6个月,随访3个月。观察两组患者血清HBsAg、HBeAg及HBV-DNA阴转率的变化。结果:在DNA阴转率方面,中药暴露组在治疗过程中与LAM非暴露组比较没有显著性差异,但在治疗结束后3个月随访时,中药暴露组的DNA阴转率为81.3%与LAM非暴露组的20.0%比较差异显著(P=0.025)。在治疗过程中,中药暴露组患者出现4例HBsAg阴转(其中1例出现血清学转换),而LAM非暴露组无HBsAg阴转的病例出现。结论:中药可促进HBV-DNA阴转,停药后能持续抑制乙型肝炎病毒的复制。

关 键 词:慢性乙型肝炎  辨证论治  拉米夫定

Study on Effect of TCM Treatment Based on Differentiation of Symptoms and Signs in Inhibiting HBV-DNA in Patients with Chronic Hepatitis B
LV Wen-liang,CHEN Lan-yu,YAN Jie,WAN Fang. Study on Effect of TCM Treatment Based on Differentiation of Symptoms and Signs in Inhibiting HBV-DNA in Patients with Chronic Hepatitis B[J]. Liaoning Journal of Traditional Chinese Medicine, 2009, 0(2): 165-167
Authors:LV Wen-liang  CHEN Lan-yu  YAN Jie  WAN Fang
Affiliation:Department of Infection Disease;Guang-an-men Hospital;Institute of Traditional Medicine of China;Beijing 100053;China
Abstract:
Objective:To observe the effect of TCM Treatment based on differentiation of symptoms and signs in inhibiting HBV-DNA in patients with chronic hepatitis B.Methods:The two-center prospective cohort study was used.The 84 patients with CHB at the clinic of Guang-an-men hospital were assigned to receive TCM treatment as exposure group based on pathogenesis obtained through differentiation of symptoms and signs,while the other 40 patients at You-an hospital were received Lamivudine as the comparison group.Patien...
Keywords:Chronic hepatitis B  Treatment based on differentiation of symptoms and signs  Lamivudine  
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