1. 首都医科大学附属北京地坛医院中西医结合二科
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侯艺鑫, 杨志云, 杨玉英, 等. 理气健脾方对肝硬化患者食道胃底静脉曲张破裂出血的影响[J]. 北京中医药, 2018,37(10):959-963.
HOU Yi-xin, YANG Zhi-yun, YANG Yu-ying, et al. Effect of Liqi Jianpi Formula on esophageal and gastric varices bleeding in patients with cirrhosis[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(10):959-963.
侯艺鑫, 杨志云, 杨玉英, 等. 理气健脾方对肝硬化患者食道胃底静脉曲张破裂出血的影响[J]. 北京中医药, 2018,37(10):959-963. DOI: 10.16025/j.1674-1307.2018.10.013.
HOU Yi-xin, YANG Zhi-yun, YANG Yu-ying, et al. Effect of Liqi Jianpi Formula on esophageal and gastric varices bleeding in patients with cirrhosis[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(10):959-963. DOI: 10.16025/j.1674-1307.2018.10.013.
目的探讨理气健脾方对肝硬化患者发生食管胃底静脉曲张破裂出血(EGVB)的影响。方法收集2010年1月—2016年7月首都医科大学附属北京地坛医院收治的符合入组标准的肝硬化伴食道胃底静脉曲张患者共计427例,随访1年,根据是否发生EGVB分为出血组和未出血组,通过Logistic回归方法分析影响EGVB发生的独立危险因素,并观察理气健脾方对EGVB的预防作用。结果是否服用理气健脾方是影响肝硬化患者1年内EGVB的独立危险因素之一;采用1∶1倾向性评分对2组进行匹配后,理气健脾方组1年内EGVB发生率21. 9%,对照组为48. 5%,理气健脾方组EGVB较对照组下降26. 6%,2组比较差异有统计学意义(P=0. 002); 2组发生EGVB患者自随访至出血时间,理气健脾方组为(8. 4±0. 3)个月,对照组为(5. 3±0. 2)个月,2组比较差异有统计学意义(P <0. 01)。结论理气健脾方能够降低肝硬化患者1年内EGVB发生率,延长肝硬化伴食管胃底静脉曲张患者不出血时间。
Objective To investigate the effect of Liqi Jianpi Formula-invigorating spleen qi on esophageal and gastric varices bleeding (EGVB) in patients with cirrhosis. Methods A total of 427 cases of patients with liver cirrhosis accompanied by esophageal gastric varices,who flowed the inclusion criteria,were collected from January 2010 to July 2016 in Beijing Ditan Hospital affiliated to the Capital Medical University,and they were followed up for 1 year. According to the fact whether EGVB occurred or not,they were divided into bleeding group and non-bleeding group,Logistic regression method was used to analyze the independent risk factors for the happening of EGVB,and the prevention effect of the formula on EGVB observed. Results Whether Liqi Jianpi Formula was taken or not is one of the independent risk factors of EGVB for patients with cirrhosis within one year. Of the two groups by 1∶1 propensity score matching,EGVB in Liqi Jianpi Formula group accounted for 21. 9%,in control group 48. 5%,and EGVB was reduced by 26. 6% in Liqi Jianpi Forumla group compared with that of the control group,and difference was statistically significant (P = 0. 002); for the time from follow-up to EGVB,Liqi Jianpi Forumla group was(8. 4 ± 0. 3) months,the control group was(5. 3 ± 0. 2) months,the two groups had statistical difference (P < 0. 01). Conclusion Liqi Jianpi Formula can reduce the incidence of EGVB within 1 year in patients with cirrhosis,extend time in liver cirrhosis patients with esophageal gastric varices with no bleeding.
肝硬化食管胃底静脉破裂出血理气健脾方中医药疗法
cirrhosisesophageal and gastric varices bleedingLiqi Jianpi FormulaTCM therapy
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