a灸法对乙型肝炎肝硬化高胆红素血症的疗效观察.docVIP

灸法对乙型肝炎肝硬化高胆红素血症的疗效观察 程井军 1 吴其恺 2 孙国杰 1 1湖北中医学院 (武汉，430061) 2 深圳市东湖医院（深圳518020） 摘要 目的 观察灸法对乙型肝炎肝硬化高胆红素血症的疗效. 方法 在使用联苯双酯、肝得健、强力宁常规护肝降酶、对症支持治疗的基础上,对治疗组（27例）加用灸法取穴双侧肝俞、足三里、太冲、三阴交治疗,每日一次,疗程 4周,对照组(29例)则采用常规治疗。结果 治疗2周时两组病例TBil均有所下降,但两组间差异无显著性意义(P0.05);当满4周时,治疗组与对照组进行疗效比较,差异非常显著(P0.01)。结论 对乙型肝炎肝硬化高胆红素血症患者应用灸法治疗有效。 关键词　灸法 高胆红素血症 肝硬化　乙型肝炎 Observation on the therapeutic effects of Moxibustion Therapy on Hyperbilirubinemia In Hepatitis B Type Cirrhosis Patients Cheng Jingjun 1 Wu Qikai 2 Sun Guojie 1 1Hubei College of Traditional Chinese Medicine and Pharmacology （Wuhan，430061） 2 Shenzhen East Lake Hospital （Shenzhen，518020） ABSTRACT Objective: To study the clinical effects of moxibustion on Hyperbilirubinemia due to Cirrhosis of Liver caused by Hepatitis B. Methods: 56 cases were divided into treatment group (27 cases) and control group (29 cases) randomly. All the patients were given some routine treatments through the use of Bifendate,Eessentiale and Potenline to improve their liver functions , reduce the level of ALT and improve some clinical symptoms, in the meantime the treatment group accepted the treatment of Moxibustion daily which lasted 4 weeks. Results: The results showed that there was no significant difference between the levels of TBil in the two groups (P0.05) after two- week treatment; After having been investigated for 4 weeks, the level of TBil in the treatment group was significantly lower than that in the control group (P0.01). Conclusion: Moxibustion is an effective measure in the treatment of Hyperbilirubinemia due to Cirrhosis of Liver caused by Hepatitis B. KEY WORDS Moxibustion Hyperbilirubinemia Cirrhosis of Liver Hepatitis B 在临床工作中笔者发现部分肝炎肝硬化(ＬＣ)患者在病程后期常合并高胆红素血症，且ＬＣ合并高胆红素血症的程度与肝脏活动性炎症及坏死程度、毛细胆管淤胆程度呈正相关［1］。西医一般采取休息,低钠饮食,护肝支持疗法,对症治疗,抗感染和防治并发症。中药治疗虽有许多丰富经验,但仍在探索研究之中，治法中涉及灸法者尚无文献可考。鉴于此，在2002年7月～2004年9月期间,笔者使用灸法治疗肝炎肝硬化伴高胆红素血症患者27例,观察了对慢性乙型肝炎所致肝炎后肝硬化患者血清总胆红素(TBil)的疗效,现报道如下。 1临床资料 1.1病例选择 随机选择2002年7月～2004年9月期间