CAJ | 학술논문

目的：观察自拟清热凉血化瘀方治疗婴儿肝炎综合征的临床疗效。方法将68例婴儿肝炎综合征患儿随机分成治疗组38例和对照组30例，2组患者均给予婴儿肝炎综合征的常规治疗方法，在此基础上，治疗组加予自拟清热凉血化瘀方治疗，观察2组疗效及治疗前后血清总胆红素（ TBiL ）、直接胆红素（DBiL）、丙氨酸氨基转移酶（ALT）、天门冬氨酸氨基转移酶（AST）、一氧化氮（NO）水平的变化及不良反应。结果治疗组总有效率84．2％，对照组总有效率63．3％，2组比较差异有统计学意义（P＜0．05），治疗组疗效明显高于对照组。2组患儿血清各指标治疗后均较治疗前有明显下降（P＜0．05），且治疗组下降幅度明显大于对照组（P＜0．05）。结论自拟清热凉血化瘀方治疗婴儿肝炎综合征疗效显著，明显改善各相关指标水平，提高治愈率，缩短病程，值得临床推广使用。
목적：관찰자의청열량혈화어방치료영인간염종합정적림상료효。방법장68례영인간염종합정환인수궤분성치료조38례화대조조30례，2조환자균급여영인간염종합정적상규치료방법，재차기출상，치료조가여자의청열량혈화어방치료，관찰2조료효급치료전후혈청총담홍소（ TBiL ）、직접담홍소（DBiL）、병안산안기전이매（ALT）、천문동안산안기전이매（AST）、일양화담（NO）수평적변화급불량반응。결과치료조총유효솔84．2％，대조조총유효솔63．3％，2조비교차이유통계학의의（P＜0．05），치료조료효명현고우대조조。2조환인혈청각지표치료후균교치료전유명현하강（P＜0．05），차치료조하강폭도명현대우대조조（P＜0．05）。결론자의청열량혈화어방치료영인간염종합정료효현저，명현개선각상관지표수평，제고치유솔，축단병정，치득림상추엄사용。
Objective To observe and analyze the effect of Qingreliangxuehuayu prescription on the treat -ment of infantile hepatitis syndrome .Methods 68 cases of infantile hepatitis syndrome in children were randomly divided into treatment group ( n =38 cases) and the control group ( n =30 cases) ,two groups of patients were given conventional treatment of infant hepatitis syndrome ,on this basis ,the treatment group was treated by Qingreliangxue-huayu prescription .The therapeutic effect of the two groups , changes before and after the treatment in the level of TBIL,DBIL,ALT,AST and NO and adverse reaction were analyzed by SPSS 20.0 software.Results The total effec-tive rate in treatment group (84.2%) was significantly higher than that in the control group (63.3%,P<0.05);each index in serum of the two groups patients after treatment was decreased significantly compared with that before treatment ( P <0.05),but the treatment group decreased significantly was greater than that of the control group (P<0.05).Conclusion The self-made Qingreliangxuehuayu prescription in the treatment of infantile hepatitis syn-drome has significant effect,can significantly improve the level of relevant indicators ,improve the cure rate,shorten the course of disease ,is worthy of clinical use .