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解毒化瘀汤治疗病毒性肝炎高胆红素血症30例临床研究
引用本文:胡金满,刘尚贵,谢静,谌宁生.解毒化瘀汤治疗病毒性肝炎高胆红素血症30例临床研究[J].中西医结合肝病杂志,2004,14(1):3-5.
作者姓名:胡金满  刘尚贵  谢静  谌宁生
作者单位:湖南中医学院第一附属医院传染科,湖南,长沙,410007
基金项目:湖南省中医药管理局科研项目
摘    要:观察解毒化瘀汤的临床疗效.方法:60例肝炎高胆红素血症患者随机分为治疗组30例、对照组30例.治疗组用解毒化瘀汤;对照组用促肝细胞生长素,疗程4周.观察肝功能:TBil、ALT、AST、DBil及血浆内毒素(ETM)水平.结果:治疗组患者在肝功能改善、ETM水平降低、黄疸消退方面均优于对照组;治疗组显效率为76.67%,对照组为50.00%,两组比较差异有显著性意义(P<0.05).结论:解毒化瘀汤有明显退黄、降酶和降低血中ETM水平的作用.

关 键 词:病毒性肝炎  高胆红素血症  解毒化瘀汤/治疗应用  内毒素血症
修稿时间:2003年11月15

Effect of Jiedu Huayn Decoction in Treating 30 Patients with Hyperbiliru-binemia Induced by Hepatitis
HU Jinman,LIU Shanggui,XIE Jing,et al..Effect of Jiedu Huayn Decoction in Treating 30 Patients with Hyperbiliru-binemia Induced by Hepatitis[J].Chinese Journal of Integrated Traditonal and Western Medicine on Liver Diseases,2004,14(1):3-5.
Authors:HU Jinman  LIU Shanggui  XIE Jing  
Institution:HU Jinman,LIU Shanggui,XIE Jing,et al. Department of Infectious Diseases,the First Hospital Affiliated to Hunan College of TCM
Abstract:Objective:To observe the effects of Jiedu Huayu Decoction.Methods:60 patients with hyperbilirubinemia induced by hepatitis were divided into two groups randomly, 30 patients in treating group and 30 patients in control group. The treating group were treated by Jiedu Huayu Decoction,and the control group were treated by hepatocyte growth-promoting factors for injection, Patients were treated for 4 weeks. Biochemical indexes of liver function, such as TBil,ALT,AST,DBil,ETM were observed.Results:The effects of improving liver function, lowering the level of endotoxin and subsiding icterus of treating group were better than those of control group;the total efficiency rate of treating group was 90%,the total efficiency rate of control group was 76.67%, the difference of the effect of subsiding icterus between the two groups was significant P<0.01);the improving of some clinical symptoms of treating group was better than control group(P<0.05 or P<0.01).Conclusion:Jiedu Huayu Decoction can obviously subsiding icterus, and lowering the levels of TBil,ALT,AST,DBil,ETM and the level of endotoxin.
Keywords:Viral Hepatitis  Hyperbilirubinemia  Jiedu Huayu Decoction/Therapeutic Use  Endotoxin
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