凉血活血法治疗肝炎高胆红素血症36例临床疗效观察

目的 观察凉血活血法对肝炎高胆红素血症（TBIL）的临床疗效。方法 72例肝炎高胆红素血症患者随机分为治疗组36例,对照组36例,治疗组在常规西药综合治疗的基础上给予凉血活血中药煎剂,1剂／d,分2次日服,疗程4周,对照组在常规西药综合治疗的基础上加用促肝细胞生长素80-120mg,10％葡萄糖250ml静脉滴注,1次/d,疗程4周,治疗4周后比较两组患者肝功能高胆红素（TBIL）、丙氨酸转氨酶（ALT）、天冬氨酸转氨酶（AST）、血清白蛋白（ALB）的变化。结果 治疗组显效率80．55％,对照组显效率50％,两组比较差异有统计学意义（P〈0．05）。结论 凉血活血法治疗病毒性肝炎高胆红煮血症疗效肯定,无毒副作用。

Clinical evaluation of therapeutic effects of "Cooling the blood and invigorating blood circulation" method on hepatitis hyperbilirubinemia

BACKGROUND: To explore the effect of treating hepatitis hyperbilirubinemia with Chinese traditional "cooling the blood and invigorating blood circulation" method. METHODS: Seventy-two patients were randomly divided into two groups. The control group (n=36) was treated with hepatocyte growth factor (HGF) 80-120 mg daily on the basis of routine western medicine treatment. The therapy group (n=36) was treated with "cooling the blood and invigorating blood circulation" decoction on the basis of routine western medicine treatment. After using the medicine for 28 days, alanine aminotrasferase (ALT), aspartate aminotrasferase (AST), total bilirubin (TBIL), albumin (ALB) in plasma were measured to compare the effects of the two methods. RESULTS: The effective rate of the therapy group was 80.55%, that of the control group was 50%. There was significant difference in efficacy between the two groups (P<0.05). CONCLUSION: "Cooling the blood and invigorating blood circulation" method may be effective and safe in the treatment of hepatitis hyperbilirubinemia.