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慢性肝炎肝纤维化中西医结合治疗问题

姚希贤 姚冬梅

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慢性肝炎肝纤维化中西医结合治疗问题

详细信息
  • 中图分类号: R575.2

Combination treatment of Chinese traditional and Western medicine in chronic hepatitis and liver fibrosis

  • 摘要:

    慢性肝炎肝纤维化主要由乙、丙型肝炎所致,合理治疗应包括抗病毒、调节免疫及抗肝纤维化治疗,有效抗病毒是治疗本病的关键,以西药为主辅以中药可提高疗效。当前在所谓的保(护)肝及对肝纤维化治疗方面药物虽多,但迄今尚乏特(有)效药物。研究表明:以"瘀血证"立论,重用丹参配黄芪活血化瘀为主,益气、舒肝、健脾中医中药对肝细胞炎症、坏死及肝纤维化等病变治疗具有良好作用。但面对众多慢性肝炎、肝纤维化患者,可用于临床的抗肝纤维化有效治疗措施仍很有限,而且目前"861"、"益肝康颗粒剂";强肝、扶正化瘀胶囊等有效中药投产者不多,尚需做进一步随机对照、盲法、大样本、多中心临床试验研究,并重视肝组织学治疗前后复查结果,进一步验证疗效。

     

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