袁淑芬 叶璟 王丽琴 刘鸿

    [摘要] 目的 探讨非酒精性脂肪性肝病患者采用针灸联合畲药食凉茶治疗的临床价值。方法 随机将2020年1月至2021年1月期间浙江省丽水市中医院收治的非酒精性脂肪性肝病患者104例分为两组，对照组采用常规治疗，而观察组则运用畲药食凉茶与针灸联合治疗，比较两组各项观察指标。结果 治疗前，两组BMI水平比較差异无统计学意义(P>0.05);治疗后，观察组的BMI低于对照组(P<0.05);观察组的HDL-C高于对照组，且LDL-C、TG及TC高于对照组(P<0.05);观察组的治疗有效率高于对照组(P<0.05);治疗前，两组肝功能指标比较差异无统计学意义(P>0.05);与对照组比较，观察组的AST和ALT水平较低，差异有统计学意义(P<0.05);两组治疗前的中医证候积分比较，差异无统计学意义(P>0.05);观察组治疗后的中医证候积分低于对照组(P<0.05);同时，两组的肝纤维化指标比较，差异有统计学意义(P<0.05);但是两组的不良反应发生率比较，差异无统计学意义(P>0.05)。结论 临床上运用畲药食凉茶和针灸对非酒精性脂肪性肝病患者进行治疗，不仅能够使治疗效果提高，改善患者肝功能，还可以减少不良反应，安全性较高，值得推广。

    [关键词] 非酒精性脂肪性肝病;针灸;畲药食凉茶;肝功能

    [中图分类号] R575.55? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2022)09-0137-03

    Clinical efficacy and safety evaluation of She Medicine Shi Liang Cha combined with acupuncture in the treatment of nonalcoholic fatty liver disease

    YUAN Shufen1? ?YE Jing2? ?WANG Liqin1? ?LIU Hong1

    1.Department of Acupuncture and Moxibustion， Lishui Chinese Medicine Hospital， Lishui? ?323000， China; 2.Department of Infectious Diseases， Lishui Central Hospital， Lishui? ?323000， China

    [Abstract] Objective To investigate the clinical value of acupuncture and moxibustion combined with She Medicine Shi Liang Cha in treating patients with nonalcoholic fatty liver disease. Methods 104 patients with nonalcoholic fatty liver disease admitted to our hospital from January 2020 to January 2021 were randomly divided into two groups. The control group was treated with routine treatment ......