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Long-Term Traditional Chinese Medicine Combined with NA Antiviral Therapy on Cirrhosis Incidence in Chronic Hepatitis B Patients in the Real-World Setting: A Retrospective Study
Joint Authors
Gao, Yue-Qiu
Zhang, Jing-Hao
Zheng, Chao
Zhang, Xin
Hou, Zhi-Jun
Ling, Qi-Hua
Kong, Xiao-Ni
Chen, Jian-Jie
Li, Man
Zhou, Zheng-Hua
Sun, Xue-Hua
Zhu, Xiao-Jun
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-04
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To evaluate the impact of long-term Traditional Chinese Medicine (TCM) syndrome differentiation combined with antiviral therapy with Nucleos (t) ide analogues (NAs) on the incidence of cirrhosis in patients with chronic hepatitis B.
Methods.
This retrospective cohort study included 521 patients with chronic hepatitis B who underwent a treatment course of ≥3 years from 1998–2019.
Of the 521 patients, 261 were defined as TCM users while 260 were TCM nonusers (control group).
All the enrolled subjects were followed up until February 2019 to measure the incidence and hazard ratio (HR) of cirrhosis, and the Cox proportional hazards regression model was used to analyze the independent factors affecting the occurrence of cirrhosis.
Results.
The cumulative incidence of TCM users and nonusers was 6.9% and 13.5%, respectively (P=0.013).
Results of the Kaplan–Meier analysis demonstrated that TCM users had a significantly lower cumulative incidence of cirrhosis than TCM nonusers (P=0.011), and TCM users had a significantly lower liver cirrhosis risk than TCM nonusers (adjusted HR = 0.416, 95% CI, 0.231–0.749).
The histological evaluation revealed improved fibrosis in 45.0% of TCM users and 11.1% of TCM nonusers (P=0.033).
The analysation of the prescriptions including total 119 single Chinese herbs medicinal demonstrated that “replenish qi and fortify the spleen,” “clear heat and dispel dampness,” and “soothe the liver and regulate qi” are the main treatment methods of TCM for CHB.
Conclusions.
Our study demonstrated that long-term TCM use may attenuate liver cirrhosis risk in patients with chronic hepatitis B (CHB).
American Psychological Association (APA)
Hou, Zhi-Jun& Zhang, Jing-Hao& Zhang, Xin& Ling, Qi-Hua& Zheng, Chao& Zhu, Xiao-Jun…[et al.]. 2020. Long-Term Traditional Chinese Medicine Combined with NA Antiviral Therapy on Cirrhosis Incidence in Chronic Hepatitis B Patients in the Real-World Setting: A Retrospective Study. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1155950
Modern Language Association (MLA)
Hou, Zhi-Jun…[et al.]. Long-Term Traditional Chinese Medicine Combined with NA Antiviral Therapy on Cirrhosis Incidence in Chronic Hepatitis B Patients in the Real-World Setting: A Retrospective Study. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1155950
American Medical Association (AMA)
Hou, Zhi-Jun& Zhang, Jing-Hao& Zhang, Xin& Ling, Qi-Hua& Zheng, Chao& Zhu, Xiao-Jun…[et al.]. Long-Term Traditional Chinese Medicine Combined with NA Antiviral Therapy on Cirrhosis Incidence in Chronic Hepatitis B Patients in the Real-World Setting: A Retrospective Study. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1155950
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155950