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目的:探索藻酸双酯钠(PSS)治疗急性乙型肝炎的疗效,并与丹参或山莨菪碱加维生素K1作比较。方法:A组56例(男性44例,女性12例;年龄33±s13a)用PSS0.1g。B组54例(男性41例,女性13例;年龄32±11a)用复方丹参20mL。C组54例(男性43例,女性11例,年龄29±13a)用氢溴酸山莨菪碱40mg加维生素K130mg。3组药物均分别溶于10%葡萄糖液500mL中静脉滴注,qd,疗程均为7 ̄10d。结果:A组血液粘度、血细胞聚集指数、微循环滞留时间、血栓形成系数均较治疗前明显下降(P<0.01);丙氨酸转氨酶和血清胆红素恢复正常天数均快于A和B2组。结论:PSS不仅有显著改善微循环作用,且降低转氨酶、消退黄疸疗效优于B,C2组。
Objective: To investigate the efficacy of sodium alginate (PSS) in the treatment of acute hepatitis B and compare with Salvia miltiorrhiza or anisodamine plus vitamin K1. Methods: A group of 56 patients (44 males and 12 females; age 33 ± s13a) with PSS0.1g. B group 54 (41 males, 13 females; age 32 ± 11a) with compound Danshen 20mL. Group C, 54 patients (43 males, 11 females, age 29 ± 13a) with anisodamine hydrobromide 40mg plus vitamin K130mg. 3 groups of drugs were dissolved in 10% glucose solution 500mL intravenous infusion, qd, treatment were 7 ~ 10d. Results: The blood viscosity, hemagglutination index, microcirculation residence time and thrombosis index in group A were significantly lower than those before treatment (P <0.01), and the days of alanine aminotransferase and serum bilirubin recovery were faster than A and B2 group. Conclusion: PSS not only significantly improve the microcirculation, but also reduce the transaminase, jaundice is better than the B, C2 group.