健脾化痰方预防儿童非酒精性脂肪肝疗效的临床研究

W. Fang
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引用次数: 1

摘要

目的验证健脾化痰方治疗儿童非酒精性脂肪肝的临床疗效。方法将60例非酒精性肝病患儿随机分为2组,每组30例,分别给予健脾化痰方和维生素E方治疗,疗程为3个月。观察两组患者治疗前后FINS、FPG、AST、ALT、TG、CHO、HDL、LDL、HOMA-IR、IAI的变化及肝脏超声显像变化。结果中药组总有效率(83.3%)高于维生素E组总有效率(46.7%),差异有统计学意义。治疗后,两组患者血脂代谢指标和胰岛素抵抗指标均显著降低。两种方法均能有效增强肝功能,但中药疗效更好。中药组治疗后ATC、TG、LDL降低,HDL-C升高(P < 0.05, P <0.01),说明中药能有效提高血脂;而维生素E组在TC、LDL-C、HDL-C方面没有改善。结论健脾化痰方治疗儿童非酒精性脂肪肝疗效良好,且无明显毒副作用,值得临床推广应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical study on prevention efficacy of Jianpi Huatan Fang in treating non-alcoholic fatty liver disease in children].
OBJECTIVE To verify the clinical efficacy of Jianpi Huatan Fang in treating non-alcoholic fatty liver disease in children. METHOD Sixty children patients with non-alcoholic liver disease were randomly assigned to 2 groups of 30 patients each , being treated with Jianpi Huatan Fang and the Vitamin E Recipe with a span of 3 months, respectively. The changes of the FINS, FPG, AST, ALT, TG, CHO, HDL, LDL, HOMA-IR, IAI after and before the treatments in both groups as well as the ultrasound imaging changes of liver were observed. RESULT The Chinese medicine group saw higher total effective rate (83.3%) than the Vitamin E group (46.7%) with statistic difference. In addition, after the treatments, both groups saw the significant decrease of the levels of serum lipid metabolic indexes and insulin resistance indexes. Both treatments could effectively enhance the function of liver, but Chinese medicine showed better efficacy. The Chinese medicine group also saw the decrease of ATC, TG, LDL and increase of HDL-C (P < 0.05 (see character in text) P <0.01) after the treatment, showing that the Chinese medicine could effectively enhance blood fat; while the Vit E group did not showed improvement in TC, LDL-C, HDL-C. CONCLUSION Jianpi Huatan Fang showed good efficacy in treating non-alcoholic fatty liver in children with no observable toxic side effects, thus clinic use shall be recommended.
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