中西医结合治疗戊肝28例临床观察

目的：观察中西医结合治疗戊型病毒性肝炎（戊肝）的疗效.方法：选择我院自2011年11月～2013年11月收治的戊型肝炎患者28例随机分为：治疗组14例,采用常规保肝降酶退黄治疗,加用自拟中药汤剂茵陈五苓散加减;对照组14例,采用常规保肝降酶退黄治疗.结果：服用1个月后,治疗组患者肝功能明显好转,ALT降低至正常5例,ALT在40.0～200.0U/L为9例;抗―HEV转阴及弱阳性为4例;对照组：肝功能部分得到改善;ALT降低至正常2例;ALT在40.0～200.0U/L为6例,抗-HEV转阴及弱阳性为2例.结论：在常规保肝降酶退黄治疗基础上,加用中药汤剂茵陈五苓散治疗戊肝能够降酶退黄,使肝功能改善或复常,促进受损肝细胞恢复.

Clinical observation on treatment of 28 cases with Hepatitis E by integratedChinese and western medicine

Objective： To observe the clinical efficacy of integrated Chinese and western medicine on Hepatitis E. Methods： 28 caseswith Hepatitis E from November, 2011 to November, 2013 were randomly divided into the treatment group with 14 cases treated byconventional protecting liver and reducing enzyme jaundice with self- made alter-integrated Yinchen Wuling power and the control groupwith 14 cases just treated by conventional protecting liver and reducing enzyme jaundice. Results： After treatment of 1 month, patients inthe treatment group improved better, ALT decreased to the normal for 5 cases, ALT in 40 ~ 200 U/L for 9 cases; anti HEV negative andweak positive for 4 cases; control group： liver function improved; ALT decreased to normal for 2 cases; ALT in 40 ~ 200 U/L for 6 cases,anti -HEV negative and weak positive for 2 cases. Conclusion： Routine protecting liver and reducing enzyme jaundice treatment combinedwith Traditional Chinese Medicine Yinchen Wuling power can treat Hepatitis E reducing the enzyme jaundice, making liver functionimprovement or normalization and promoting the recovery of injured liver cell.