Saturday, November 3, 2007

Fatty liver seven principles of integration therapy

Often patients with fatty liver or physical examination in other diseases find myself suffering from fatty liver, and in the need for treatment of the issue also often confused into errors. Misunderstandings 1: indifferent had fatty liver, less drinking, less meat, more like a natural exercise, without treatment. Mistakes 2: fatty liver which include medicine, eventually will develop into cirrhosis, liver cancer. It should be said that these two are one-sided understanding. The first case, and this tends to neglect patients with the development of fatty liver disease situation, the result of losing the best time. The second scenario would have patients with mental stress, loss of confidence. Well, what kind of governance can be fatty liver died, which also must fatty liver treatment? Generally sick time is short, no clinical symptoms, liver function, blood lipid normal, and only a mild ultrasound suggested that fatty liver, alcohol can adjust diet, regular exercise methods such as treatment, most are free to resume, which belongs to cure can be dead. If not, they should be active treatment. HD liver disease treatment to the characteristics of clinical instrument for the integration therapy, the country's nearly 200 hospitals, and has accumulated rich clinical experience. Practice has proved that as long as attention to the following seven principles, we can give full play to the role of HD therapeutic apparatus. First, the diagnosis clear. Western medicine, including the diagnosis of fatty liver classification, staging and classification, indexing and Chinese medicine in the diagnosis of the syndrome. The diagnosis is not clear unable to grasp the main contradiction, we can not achieve the "urgent stopgap measures, ease the root cause, the situation," and not to play the "integration therapy" advantages, impact of the treatment effect, it is necessary for Western medicine and TCM diagnosis combined. Second, the changes in treatment programs with the card. Fatty liver is a pathological state relatively fixed, but the treatment of "Syndrome" and the ever-changing disease, so treatment should be relatively flexible rules. Common law has Shugan treatment, Lidan, Spleen, and stomach, Bushen, promoting blood circulation, the justifications for gas, phlegm, fever, Qingre, these should be under the rule of different patients and different stages of the disease which, seizing the main contradiction with HD liver disease treatment Instrument Meridian, acupoint therapy, Introduction of drug treatment and oral Chinese and Western medical treatment, and with the therapeutic, physical therapy organic integration, work out the best treatment programs. Third, comprehensively determine efficacy. From imaging before and after treatment changes (ultrasound or CT), serum biochemical markers (liver function, blood lipids), the symptoms and signs three indicators to consider. As long as there is a general indicators have improved significantly, the other two will improve clinical performance, sometimes simultaneously. Fourth, the rational application of HD therapeutic apparatus. Use of liver disease therapeutic apparatus, in view of different patients, the need for a different intensity, and distribution points, import prescription and posture, the way through this clinically useful stress, illness and treatment should be the person. Doctors and patients should be carefully communication, and make records, after a period of about a week to find out against the best combination in patients with the program. Fifth, patients with active support. Doctor-patient treatment of fatty liver should be close coordination and alcohol, change bad habits and eating habits, to improve clinical efficacy stake. Outpatient treatment of patients unable to control diet, such as patients with bad effects will be greatly reduced. Sixth, adhere to the treatment. Medical treatment for the patients with fatty liver is the most in-service personnel, for a variety of reasons adhere to treatment difficulties. This can make use of home-based treatment of liver disease at home for regular review. Doctors should help patients overcome the psychological impatient for success. Seventh, attention to individual differences. General Instrument flu-gas treatment in the patients with good effect, slow-sensitive or poor efficacy in patients with type physique. Young and middle-aged patients with better efficacy, elderly patients with poorer treatment outcomes. Simple better efficacy in patients with fatty liver, associated with diabetes, high blood pressure, kidney diseases, and other chronic patients poorer treatment outcomes. A familial aggregation of patients with a history of poor.

No comments: