Therapeutic effect of traditional Chinese medicine on coagulation disorder and accompanying intractable jaundice in hepatitis B virus-related liver cirrhosis patients

World J Gastroenterol. 2008 Oct 21;14(39):6060-4. doi: 10.3748/wjg.14.6060.

Abstract

Aim: To observe the therapeutic effects of new traditional Chinese medicine (TCM) therapy on coagulation disorder and accompanying intractable jaundice in HBV-related liver cirrhosis patients.

Methods: Using stratified random sampling according to fibrinogen (Fib) levels, 145 liver cirrhosis patients due to hepatitis B complicated by coagulation disorder were treated. Of them, 70 in research group were treated with TCM by "nourishing yin, cooling blood and invigorating blood circulation" and Western medicine, 75 in control group were treated with conventional Western medicine. The indexes of liver function, coagulation function and bleeding events were observed and compared.

Results: The prothrombin time (PT) was shorter and the fibrinogen (Fib) level was higher in the research group than in the control group (Fib = 1.6-2.0 g/L, 1.1-1.5 g/L, and < or = 1.0 g/L). The total bilirubin (TBIL) level was significantly lower in the research group than in the control group, except for the subgroup of FIB < or = 1.0 g/L.

Conclusion: TCM therapy can improve coagulation fuction and decrease TBIL.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bilirubin / metabolism
  • Blood Circulation / physiology
  • Blood Coagulation / physiology
  • Blood Coagulation Disorders / etiology
  • Blood Coagulation Disorders / physiopathology
  • Blood Coagulation Disorders / therapy*
  • Female
  • Fibrinogen / metabolism
  • Hepatitis B / complications*
  • Hepatitis B virus*
  • Humans
  • Jaundice / etiology
  • Jaundice / metabolism
  • Jaundice / therapy*
  • Liver Cirrhosis / complications*
  • Liver Cirrhosis / virology*
  • Male
  • Medicine, Chinese Traditional / methods*
  • Middle Aged
  • Prothrombin Time
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Fibrinogen
  • Bilirubin