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舒肝宁对慢性乙型病毒性肝炎患者负性情绪、睡眠质量及肝功能的影响
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R512.6+2

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Effects of Shuganning on the negative mood,sleeping quality and liver function of patients with chronic viral hepatitis B
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    摘要:

    目的 探讨舒肝宁对慢性乙型病毒性肝炎患者负面情绪、睡眠质量及血清门冬氨酸转氨酶(AST)、总胆红素(TBIL)、丙 氨酸转氨酶(ALT)水平的影响。方法 按照随机数字表法将 2018 年 5 月至 2020 年 5 月惠东县人民医院收治的 60 例慢性乙型病毒性肝 炎患者分为对照组(30 例)和观察组(30 例)。其中对照组患者予以恩替卡韦分散片治疗,观察组患者在对照组的基础上联合舒肝宁 注射液进行治疗,两组患者均连续治疗 4 个月。比较两组患者治疗后临床疗效,治疗前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、 匹兹堡睡眠质量指数(PSQI)评分及肝功能指标,治疗期间不良反应发生情况。结果 治疗后观察组患者临床总有效率(96.67%)较对 照组(80.00%)升高;治疗后两组患者 SDS、SAS、PSQI 评分及血清 AST、TBIL、ALT 水平与治疗前比均降低,且观察组较对照组降低; 与对照组比,观察组患者治疗期间的不良反应总发生率降低(均P < 0.05)。结论 将舒肝宁应用于慢性乙型病毒性肝炎患者的治疗中可 有效提高其临床治疗效果,改善肝功能,缓解负性情绪,提高睡眠质量,且安全性较高。

    Abstract:

    Objective? To observe the effects of Shuganning on negative emotion, sleeping quality and serum aspartate aminotransferase (AST), total bilirubin (TBIL) and alanine aminotransferase (ALT) levels of patients with chronic viral hepatitis B. Methods A total of 60 patients with chronic viral hepatitis B admitted to Huidong People's Hospital from May 2018 to May 2020 were selected and divided into the control group (30 cases) and the observation group (30 cases) according to the random number table. The control group was treated with Enticavir dispersive tablets, and the observation group was treated with Shuganning injection on the basis of the control group. Patients in both groups were treated continuously for 4 months. Clinical efficacy and Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI) scores, liver function indexes of patients before and after treatment, and the incidence of adverse reactions during treatment were compared between the two groups. Results? The total effective rate of observation group (96.67%) after treatment was higher than that of control group (80.00%); After treatment, the SDS, SAS, PSQI scores and serum AST, TBil, ALT levels of patients in the two groups decreased significantly compared with before treatment, and the observation group was lower than the control group; The total incidence of adverse events during treatment in the observation group was lower than that of the control group (all P <0.05). Conclusion? The application of Shuganning in the treatment of patients with chronic viral hepatitis B can effectively enhance the clinical treatment effect, improve the liver function, relieve negative emotions, improve the quality of sleep, and the safety is higher.

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  • 在线发布日期: 2022-08-17
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