慢性病毒性乙型肝炎,其病程长,病情复杂多变,治疗起来难度大,非朝夕就能见效,往往影响病人的精神因素及心理状态,一旦病人心理处于逆境,无疑给治疗增加了难度。笔者经多年观察认为,临床医生不但要注重药物治疗,同时又要注重病人的心理状态,加强心身护理。这在某种程度上比药物治疗更具有重要意义。 如张某,女,30岁,市郊农民,因乏力、纳差、恶心、腹胀、尿黄在某医院诊断为肝炎,经2个多月的积极治疗后,连续肝功能化验二次已经正常,转氨酶三次正常,出院后因家务纠纷,致使患者情志波动而郁怒难伸,肋下胀闷,厌食,纳呆,而又去就诊, Chronic viral hepatitis B, its duration is long, the condition is complex and changeable, the treatment is difficult, non-overnight can be effective, often affect the patient’s mental factors and psychological state, once the patient’s psychological adversity, no doubt to the treatment of increased difficulty. After years of observation by the author, clinicians should not only pay attention to drug treatment, but also pay attention to the patient’s psychological state and strengthen psychosomatic care. This is to some extent more important than medication. Such as Zhang, female, 30 years old, suburban farmers, due to fatigue, anorexia, nausea, abdominal distension, urine yellow in a hospital diagnosis of hepatitis, after more than two months of active treatment, continuous liver function test twice normal, Aminotransferase three times normal, after discharge due to housework disputes, resulting in emotional ups and downs of patients with anguish, ulnar expansion, boring, anorexia, poor appetite, but go to the clinic,