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中西结合治疗慢性重型肝炎血小板聚集功能观察
作者姓名:何鸣  王晓红
作者单位:江苏省东台市中医院(何鸣),江苏省东台市人民医院(王晓红)
摘    要:目的:观察中西医结合治疗慢性重型肝炎35例,治疗前后血小板聚集功能的变化。方法:在西药综合治疗的基础上,将35例慢性重型肝炎分肝肾阴虚、肝郁脾虚、湿热蕴结3型辨证施治,并设单纯西药治疗24例作对照。结果:中西结合治疗组总有效率明显优于单纯西药对照组(P<0.05);治疗组早期治疗后PAG值显著升高,与治疗前及对照组相比有非常显著性差异(P<0.01),中期治疗后PAG升高与治疗前比较有显著性差异(P<0.05),但与对照组相比无明显差异(P>0.05)。结论:PAG是慢重肝的可靠诊断指标之一,对观察疗效、判断预后有重要的临床意义,对慢重肝的治疗应及早进行中西医结合治疗

关 键 词:慢性重型肝炎  中西医结合治疗  血小板聚集功能

Observation of Platelet Agglutination in Treatment of 35 Cases of Chronic Severe Hepatitis
Abstract:OBJECTIVE:To observe changes in platelet agglutination before and after treatment of 35 cases of chronic severe hepatitis with both western medicine and TCM.METHOD:The 35 patients were divided into 3 types,namely,the type of deficiency of yin in the liver and kidney,the type of liver depression and spleen deficiency,and the type of accumulation of damp-heat,compared with a control group of 24 patients treated simply with western medicine.RESULT:The therapeatic effect obtained in the treatment group was markedly more satisfactory than in the control group( P <0.05).During the early period of the treatment PAG in the treatment group rose significantly,with marked difference as compared with the control group( P <0.01).During the middle period,PAG also rose greatly compared with that before the treatment( P <0.05),but with no marked difference compared with the control group( P >0.05).CONCLUSION:PAG is one of the important criteria for the diagnosis of chronic severe hepatitis In treating this disease,it is advisable to use both wester medicine and traditional Chinese medicine.
Keywords:Chronic severe hepatitis  treatment with both western medicine and traditional Chinese medicine  platelet agglutination
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