冯因克 刘亚敏 陈启龙

    [摘要] 慢性乙型肝炎后肝硬化是乙型病毒性肝炎发展到终末期的常见表现，后期可因出现肝性脑病、原发性肝癌、感染等严重并发症而导致死亡，临床治疗一直收效甚微。目前，尽管西医抗病毒依然是乙肝后肝硬化治疗的首选，但中医辨证治疗乙肝后肝硬化也具有独特作用。近年来，中医药在临床辨证及对症治疗乙肝后肝硬化已经有了大量的探索。本文从中医、西医及中西医结合三个方面综述了乙肝后肝硬化治疗的研究进展，并展望了精准医疗在乙肝后肝硬化个性化治疗上的应用前景，以期为乙肝后肝硬化精确治疗的发展提供参考。

    [关键词] 乙肝后肝硬化；中医；西医；中西医结合；精准医疗

    [中图分类号] R575.2 [文献标识码] A [文章编号] 1674-4721(2016)10(b)-0028-04

    [Abstract] Cirrhosis due to hepatitis B is a common pathological consequence of chronic hepatitis B in final stage， which might lead to the emergence of hepatic encephalopathy， primary liver cancer， infection and other serious complications and death. However， the therapeutic efficacy of cirrhosis due to hepatitis B is challenging in clinical treatment. Presently， the western medicine is still the first choice for the treatment of hepatitis B cirrhosis， but the traditional Chinese medicine has a special therapeutic efficacy for the treatment of cirrhosis due to hepatitis B. In past decades， traditional Chinese medicine causing prospect for cirrhosis due to hepatitis B treatment. This paper reviews the development of cirrhosis due to hepatitis B treatments from traditional Chinese medicine ......