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目的:观察脐火疗法联合人工肝治疗慢性重型肝炎的疗效。方法:38例重型肝炎患者随机分为2组,对照组18例为常规内科对症支持基础上应用单重血浆置换术治疗;治疗组20例在对照组治疗基础上加用脐火疗法,疗程均为14 d。结果:治疗组患者脘腹胀满、乏力、口苦、畏寒症状改善明显,与对照组比较有显著性差异(P<0.05),两组均明显降低患者胆红素水平,治疗组疗前总胆红素为(435.4±182.2)μg.L-1,治疗后降为(65.7±22.0)μg.L-1,对照组疗前总胆红素为(422.7±178.5)μg.L-1,治疗后降为(98.7±36.1)μg.L-1,但治疗组较对照组改善更为显著(P<0.05),两组在改善患者肝功能方面无显著差异。结论:脐火疗法可明显提高人工肝治疗效果,未见不良反应。
Objective: To observe the therapeutic effect of navel fire therapy combined with artificial liver on chronic severe hepatitis. Methods: Thirty-eight patients with severe hepatitis were randomly divided into two groups. The control group of 18 patients were treated with single-plasmapheresis on the basis of conventional symptomatic symptomatic support. Twenty patients in the treatment group were treated with navel-fire therapy on the basis of the control group. For 14 days. Results: In the treatment group, the symptoms of abdominal fullness, fatigue, mouth pain and aversion to cold were significantly improved (P <0.05). The bilirubin levels in both groups were significantly lower than those in the control group Bilirubin was (435.4 ± 182.2) μg.L-1 and decreased to (65.7 ± 22.0) μg.L-1 after treatment. Total bilirubin in the control group was (422.7 ± 178.5) μg.L-1, After treatment, the treatment group was (98.7 ± 36.1) μg.L-1, but the treatment group improved more significantly than the control group (P <0.05). There was no significant difference between the two groups in improving liver function. Conclusion: The navel fire therapy can significantly improve the therapeutic effect of artificial liver, no adverse reactions.