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慢性肝病患者所接受的治疗有治疗效果吗?(作者译)

[Is there a therapeutic effect of cures undergone by patients with chronic liver disease? (authors transl)].

作者信息

Eberhardt G

出版信息

Leber Magen Darm. 1977 Oct;7(5):306-9.

PMID:926980
Abstract

"Cures" embrace by definition a broad spectrum starting from taking waters in health resorts to hospital treatment in modern rehabilitation centers. The effectiveness of traditional cure procedures is discussed. Effectiveness of drinking cures, baths and mud packs in liver disease has not yet been proven. Controlled trials are necessary. Clinical treatment is indicated in alcoholic liver damage, viral hepatitis with a protracted course, chronic aggressive hepatitis and compensated cirrhosis of the liver; such treatment, however, is questionable in fatty liver and in chronic persistent hepatitis. Data concerning the effectiveness of treatment of chronic liver diseases are given. The following conclusions are drawn: patients with liver disease ought to be hospitalized when undergoing cures, indications have to be precised, collaboration of patients has to be stimulated, hospital discipline has to be tight, therapy of alcoholism has to include several psychosocial aspects, treatment after leaving hospital has to be improved.

摘要

“疗法”从本质上来说涵盖范围广泛,从在疗养胜地饮水疗法到现代康复中心的住院治疗。文中讨论了传统治疗方法的有效性。饮用疗法、沐浴疗法和泥敷疗法对肝病的疗效尚未得到证实。有必要进行对照试验。酒精性肝损伤、病程迁延的病毒性肝炎、慢性侵袭性肝炎和代偿性肝硬化需进行临床治疗;然而,对于脂肪肝和慢性持续性肝炎,这种治疗方法存在疑问。文中给出了关于慢性肝病治疗效果的数据。得出以下结论:肝病患者在接受治疗时应住院,必须明确治疗指征,鼓励患者配合,加强医院管理,酗酒治疗必须包含多个社会心理方面,出院后的治疗必须加以改善。

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