降脂化瘀方治疗非酒精性脂肪肝（痰瘀互结型）的临床研究-中医内科学专业论文.docxVIP

中文摘要目的：探讨降脂化瘀方治疗非酒精性脂肪肝(痰瘀互结型)的临 中文摘要 目的：探讨降脂化瘀方治疗非酒精性脂肪肝(痰瘀互结型)的临 床疗效及其对B超、TG、TC、ALT的影响。 方法：选择2004年1 2月至2 005年12月门诊治疗的60例脂肪肝 (痰瘀互结型)患者，采用随机对照的原则分为两组，即治疗组、对 照组，分别给予降脂化瘀方及易善复治疗3月，观察治疗前后B超、 中医证候的变化，并对TG、TC及ALT等指标进行比较。 结果：治疗组总有效率为86．7％，对照组总有效率为8 0．O％，两组 比较差异无统计学意义(P0．05)，中医症状改善率治疗组为90％，对 照组为63．3％，两组比较差异有显著统计学意义(P0．05)，提示降脂 化瘀方改善中医证候的疗效优于易善复。两纽患者的B超影像学改善 程度比较差异无统计学意义(P0．05)，两组患者的体重指数、TG、Tc 及ALT水平均下降，但两组间比较差异无统计学意义(P0．05)。 结论：降脂化瘀方是治疗非酒精性脂肪肝(痰瘀互结型)的有效 方药，并能有效改善B超影像学表现、中医证候，降低体重指数及TG、 YC、ALT的水平。 关键词：降脂化瘀方 痰瘀互结 非酒精性脂肪肝 Clinical Clinical Study about the Effect of Jiang Zhi Hua Yu Decoction on Non—alcoholic Fatty Liver Marked by Phlegm and Stagnated Blood(JZHY) Postgraduate：Li LiQing Tutor：Professor Zhu Di Objective：To observe the clinical effects of Jiangzhihuayu(JZHY)Decoction and effects on B—ultrasound and TGTC，ALT ect，on patients with TYHJ of Non—alcoholic Fatty Liver(NAFL) Method：60 patients with TYHJ of Non—alcoholic Fatty Liver from December 2004 to December 2005 were selected and devided into two groups randomly(treatment group and western medicine control group)，and treated with Jiangzhihuayu decoction and essentials respectively for 3 months．The clinical effects on B—ultrasound，Chinese medical syndromes， and blood biochemical parameters(TG，TC，ALT)were observed． Results：The total effective rate was 86．7％in the treatment group and 80．0％in the control group．There was no significant difference between the two groups(p0．05)．The total effective rate of Chinese medical syndromes was 90％in the treatment group and 63．3％in 63．3％in the control group，with a significant difference between the tWO groups(P0．05)．No significant difference was found in the improvement of B—ultrasound between the two groups(p0．05)．A significant decrease of TC‘TC，ALT and BMl was found in the two groups，but there was no significant difference between the two groups (p0．05) Conclusion：Jiangzhihuayu Decoction is an effective prescr2ptmn to the patients with TYHJ of Non—alcoholic