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Effect of Yiligan Capsules combined with Tenofovir on liver function and liver fibrosis in patients with hepatitis B cirrhosis |
WANG Jiebing TANG Pingyang XU Huixuan |
Department of Hepatology, Cangzhou Infectious Disease Hospital, Hebei Province, Cangzhou 061000, China |
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Abstract Objective To explore the effect of Yiligan Capsules combined with Tenofovir on liver function and liver fibrosis in patients with hepatitis B cirrhosis. Methods Ninety patients from May 2015 to March 2018 in Cangzhou Infectious Disease Hospital of Hebei Province were selected and divided into control group and observation group according to random number table method, 45 cases in each group. Control group was treated with Tenofovir, and observation group was given Yiligan Capsules combined with Tenofovir. Clinical efficacy and laboratory examination indexes of two groups were compared. Results Total clinical effective rate of observation group was higher than that of control group (P < 0.05). After treatment, serum total bilirubin (TBil), alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels of two groups were lower than those before treatment, prothrombin time (PT) of two groups was shorter than that before treatment, and the levels of TBil, ALT and AST in observation group were lower than those in control group, and PT in observation group was shorter than that in control group (P < 0.05). After treatment, the levels of hyaluronidase, blood laminin, type Ⅳ collagen and type Ⅲ procollagen in two groups were lower than those before treatment, and those in observation group were lower than those in control group (P < 0.05). The negative conversion rate of HBV-DNA in observation group was higher than that in control group at 23 and 46 weeks of treatment, and the differences were statistically significant (P < 0.05). Conclusion Yiligan Capsules combined with Tenofovir has significant clinical effect on patients with hepatitis B cirrhosis, it can protect the activity of liver cells, significantly improve the liver function, reduce liver fibrosis and improve the quality of life of patients, which is worthy of clinical application.
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