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时毓民,段恕诚,姚宏祥,沈雅娟,傅美娣,王顺林.中西医结合治疗婴儿肝炎综合征的对照研究[J].,1986,(1):23-25,3
中西医结合治疗婴儿肝炎综合征的对照研究
A Comparative Study on Treating Infantile Hepatitis Syndrome with TCM-WM Combined and TCM Exclusively
  
DOI:
中文关键词:  婴儿肝炎综合征  中西医结合疗法  中西医结合治疗  中药治疗  强的松  黄染  两种方法  肝功能  巩膜  病程
英文关键词:
基金项目:
Author NameAffiliation
Shi Yumin 上海医科大学儿科医院 
Duan Shucheng 上海医科大学儿科医院 
姚宏祥 上海医科大学儿科医院 
沈雅娟 上海医科大学儿科医院 
傅美娣 上海医科大学儿科医院 
王顺林 上海医科大学儿科医院 
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中文摘要:
      为研究中西医结合疗法是否较单用中药治疗婴儿肝炎综合征更有效,本文应用中药加强的松及单用中药对照的两种方法治疗50例婴儿肝炎综合征,其中中西医结合组27例,中药组23例。两组在皮肤巩膜黄染程度、血胆红素、年龄、症状,体征及病程方面基本相同。治疗结果表明中西医结合组在退黄及改善症状方面优于中药组,但病程未见明显缩短,故认为对轻度黄疸可仅用中药治疗,对中及重度黄疸应用中西医结合疗法较好。
英文摘要:
      This article presents a comparative study on the results of 50 cases with infantile hepatitis syndrome treated with TCM-WM combined and TCM exclusively.Twenty-seven cases were treated with traditional Chinese medicine and prednisone,23 cases with Chinese medicine alone.The two groups were mostly similar in age,course, symptom,degree of jaundice,serum bilirubin,hepatosplenomegaly and differential dignosis of symptom-complexes according to TCM.The dosage of prednisone was 1~1.5mg/kg;the Chinese medicine was the drugs prescribed for eliminating heat and dampness.Their average courses ofthe treatment were 3.5 weeks and 6.5 weeks respectively.It turned out that the time for disappearance of sclera jaundice in the group treated with TCM-WM combined was 28.1±8 days,while that of the group treated with Chinese medicine alone was 34.1±13.2 days(P<0.05);The time taken for disappearànce of skin jaundice in the two groups was 25:9±7.5 days and 32.8±10 days(P<0.01) respectively.There was no apparent difference in the length of course of treatment between the two groups.The results suggest that cases of infantile hepatitis syndrome with mild jaundice be treated with Chinese medicine alone. while cases of moderate or severe jaundice be treated with TCM-WM.
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