中西医结合治疗重症肝炎临床疗效观察

目的：观察中药清肝汤配合治疗重症肝炎的临床疗效。方法：将60例患者随机分为两组。对照组采用西医综合疗法，治疗组加用清肝汤。疗程1个月。结果：治疗组显效18例，有效10例，无效及死亡4例，总有效率为87．50％（95％CI=71．0％～96．5％）；对照组显效9例，有效8例，无效及死亡11例，总有效率为60．71％（95％CI=42．6％～79．4％）；两组综合疗效比较（μ=2．1967，P=0．0217）。结论：清肝汤配合中西医结合治疗重症肝炎疗效优于单纯西医综合疗法，其收益为：OR=0．22（95％CI：0．06～0．80），NNT：4（95％CI=2．05—24．44）。

Clinical Observation of Decoction for Clearing Liver on Severe Hepatitis

To observe the curative effect of Decoction for Clearing Liver on severe hepatitis. Method： 60 cases were divided into two groups randomly. They were all treated by routine western medicine treatment. But the ones in treatment group were treated by Decoction for Clearing Liver besides the above treating. The treatment course included 1 month. Result： In treatment group 18 cases were excellent, 10 cases were effective, 4 cases were ineffective or dead, and the total effective rate was 87.50% （95% CI =71.0% -96.5% ）. In control group 9 cases were excellent, 8 cases were effective, 11 cases were ineffective or dead, and the total effective rate was 60.71% （95% CI = 42. 6% -79.4% ）. There was significant difference between the two groups （u = 2. 196 7, P = 0. 021 7 ）. Conclusion ： The curative effect of Decoction for Clearing Liver is better than that of only routine western medical treatment on severe hepatitis, OR =0. 22 （95% CI =0. 06 -0. 80） , NNT =4 （95% CI = 2.05 - 24. 44）.