摘要
目的观察消黄方在治疗慢性乙型肝炎(湿热瘀阻型)轻度黄疸的临床疗效。方法选择2012年6月—2014年6月收治的87例慢性乙型肝炎轻度黄疸的患者的临床资料,根据随机的原则,将患者分为治疗组44例与对照组43例,全部患者均叮嘱休息,禁酒,均衡饮食。对照组患者给予口服拉米夫定,静脉滴注60 ml复方甘草酸苷注射液,静脉滴注还原型谷胱甘肽,口服250 mg熊去氧胆酸,治疗组患者同对照组患者,口服拉米夫定;静脉滴注复方甘草酸苷注射液,静脉滴注还原型谷胱甘肽,给予消黄方,连续治疗4周。结果治疗组患者有效率明显高于对照组患者,两组患者临床有效率比较,结果具有显著性差异(P<0.05),两组患者尿、目黄,乏力,舌苔黄腻,纳差,胁肋胀痛等临床症候均有所改善,且治疗组在尿目黄、舌苔黄腻、胁肋胀痛等比较,较对照组有明显差异(P<0.05)。结论采用消黄方治疗慢性乙型肝炎轻度黄疸临床疗效较好,在改善患者症候方面效果显著,是慢性乙型肝炎轻度黄疸的有效治疗方法。
Objective To explore the clinical efficacy of Xiaohuang prescription on the treatment of chronic hepatitis B with mild jaundice. Methods 87 cases were selected from June 2012 to June 2014 in our hospital. The 87 cases were randomly divided into observation group of 44 cases and control group of 43 cases. They were exhorted to rest, temperance and eat balanced diet. The control group took orally lamivu- dine and 250 mg ursodeoxycholie acid, 60mL intravenous glycyrrhizin and glutathione injection; based on the control group, the Xiaohuang prescription was added in the observation group. Treatment continued 4 weeks. Results The efficacy of the observation group was higher than that of the control group, there was significant difference (P〈0.01) . Clinical syndromes of urine, yellow eyes, fatigue, yellow and greasy fur on the tongue, anorexia, and hypochondrium distending pain were improved. In aspect of yellow eyes, yellow and greasy fur on the tongue and hypochondrium distending pain, there were significant differences between the two group (P〈0.01) . Conclusion The Xiaohuang pre- scription was an effective treatment for chronic hepatitis B with mild jaundice, and had significant improvement on syndromes.
出处
《中国中医药现代远程教育》
2015年第7期34-35,共2页
Chinese Medicine Modern Distance Education of China
基金
国家中医药管理局全国第四批名老中医药专家传承工作室项目
关键词
消黄方
慢性乙型肝炎
黄疸
Xiaohuang prescription
chronic hepatitis B
jaundice