论文部分内容阅读
[目的]观察中药内服、外敷、灌肠联合血浆置换治疗重型肝炎的临床疗效。[方法]将72例患者随机分为治疗组和对照组,每组36例。对照组使用血浆置换疗法,治疗组在此基础上使用中药内服+外敷+灌肠治疗。两组均以2周为1个疗程,1疗程后观测症状改善、凝血功能、肝功能、ETM、TNF-α、IL-1β指标。[结果]两组均明显降低患者TBil水平,治疗组还可显著降低患者ETM水平。[结论]中药内服、外敷、灌肠联合血浆置换是治疗重型肝炎的有效方法,其机制可保护肝细胞,减少并发症,改善患者的症状及预后。
[Objective] To observe the clinical efficacy of Chinese medicine orally, external application and enema combined with plasma exchange in the treatment of severe hepatitis. [Methods] 72 patients were randomly divided into treatment group and control group, 36 cases in each group. Control group using plasma exchange therapy, the treatment group based on the use of Chinese medicine + external application + enema treatment. The two groups were treated with 2 weeks for 1 course of treatment. After 1 course of treatment, symptoms, coagulation, liver function, ETM, TNF-α and IL-1β were observed. [Results] Both groups significantly reduced the level of TBil, and the treatment group also significantly reduced the level of ETM. [Conclusion] Oral administration, external application and enema combined with plasma exchange are effective methods for the treatment of severe hepatitis. Its mechanism can protect hepatocytes, reduce complications and improve the symptoms and prognosis of patients.