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疏肝健脾法结合抗病毒治疗慢性乙型病毒性肝炎的研究进展 被引量:4

Research Progress on the Treatment of Chronic Hepatitis B with the Method of "Soothing the Liver and Invigorating the Spleen" Combined with Antiviral Therapy
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摘要 慢性乙型病毒性肝炎(CHB)是一类传染性强、流传范围广的慢性传染病,其主要病因是感染乙肝病毒。目前单纯运用西医治疗该病存在疗程长,有耐药风险,临床症状未能妥善处理等阻碍,同时CHB疾病不及时治疗或治疗不当,发展成为相关性肝硬化、原发性肝癌、肝衰竭的风险将增加。通过查阅文献发现,辨证运用疏肝健脾法结合抗病毒疗法治疗肝郁脾虚型CHB能够明显改善患者临床症状、肝功能指标,延缓肝纤维化进程。文章从疏肝健脾法结合抗病毒治疗的理论依据、临床疗效等方面进行综述,以期为CHB的临床治疗提供帮助。 Chronic viral hepatitis B is a type of chronic infectious disease with strong contagion and wide spread. Its main cause is infection with hepatitis B virus. At present, the treatment of the disease with western medicine alone has a long treatment course, which has the risk of drug resistance, and the clinical symptoms are not properly handled. At the same time, chronic hepatitis B disease is not treated in time or treated improperly, and it develops into related liver cirrhosis, primary liver cancer, and liver failure. The risk will increase. By consulting Chinese and foreign literature, it is found that the treatment of chronic hepatitis B with liver depression and spleen deficiency by using the method of "soothing the liver and strengthening the spleen" combined with antiviral therapy can significantly improve the clinical symptoms, liver function indicators, and delay the process of liver fibrosis. This article reviews the theoretical basis and clinical efficacy of the combination of "Soothe the liver and nourish the spleen" method with antiviral therapy, in order to provide help for the clinical treatment of chronic hepatitis B.
作者 廖南盛 罗业浩 吴凤兰 韦华柱 陈月桥 LIAO Nansheng;LUO Yehao;WU Fenglan;WEI Huazhu;CHEN Yueqiao(The First Affliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China;Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China)
出处 《实用中医内科杂志》 2022年第9期7-9,共3页 Journal of Practical Traditional Chinese Internal Medicine
基金 国家自然科学基金(81774236 81603550) 广西科技计划项目(2018GXNSFGA281002 桂科AD17129001) 广西中医药适宜技术开发与推广项目(GZSY21—16) 广西中医药大学博士研究生科研创新项目(YCBXJ2021012)。
关键词 疏肝健脾 抗病毒 中西医结合治疗 慢性乙型病毒性肝炎 soothing the liver and invigorating the spleen anti-virus integrated traditional Chinese and western medicine treatment chronic hepatitis B review
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