加减大承气汤灌肠治疗重症肝炎的临床疗效

高西绪

（略阳县人民医院，陕西 汉中，724300）

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摘要：

目的 探讨加减大承气汤灌肠治疗重症肝炎的临床疗效。方法 选取本院收治的72 例重症肝炎患者，随机分为观察组 和参照组，各36 例。参照组患者采用常规西医治疗，观察组患者在参照组基础上给予加减大承气汤灌肠治疗，对比两组的治 疗效果。结果 观察组治疗总有效率为94.44%，明显高于参照组的72.22%，差异具有统计学意义（P<0.05）。治疗后，两组患者 的TBIL、PTA 肝功能指标水平明显改善，观察组TBIL、PTA 肝功能指标水平明显优于参照组，差异具有统计学意义（P<0.05）。结论 加减大承气汤灌肠治疗重症肝炎的效果理想，能够有效降低患者的TBIL 水平，提升PTA，具有确切疗效。

关键词：大承气汤；灌肠治疗；重症肝炎；退黄

中图分类号：R259文献标志码：A文章编号：2096-1413(2018)06-0115-02

Clinical treatment effect of modified Dachengqi decoction enema on severe hepatitis
GAO Xi-xu
(the People``s Hospital of Lveyang County, Hanzhong 724300, China)

ABSTRACT: Objective To discuss the clinical efficacy of modified Dachengqi decoction enema in the treatment of severe hepatitis. Methods A total of 72 cases of severe hepatitis patients in our hospital were selected, and randomly divided into observation group and control group, with 36 cases in each group. The control group used conventional western medicine treatment, while the observation group was treated with modified Dachengqi decoction enema on the basis of the control group. The clinical effects between the two groups were compared. Results The total effective rate of the observation group was 94.44%, which was significantly higher than 72.22% of the control group, the difference was statistically significant (P<0.05); after treatment, the liver function indexes TBIL, PTA of the both groups significantly improved, and those in the observation group were superior to the control group, the differences were statistically significant (P<0.05). Conclusion Modified Dachengqi decoction is effective in the treatment of severe hepatitis, it can effectively reduce the level of TBIL,
and promote PTA, which has definite curative effect.
KEYWORDS: Dachengqi decoction; enema treatment; severe hepatitis; jaundice

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