63例严重胆汁郁积慢活肝血清维生素与黄疸、病理、证型关系的研究  

Changes in Serum Conc.of vitamins A, C, E before & After Adminstration of Composite Traditional Chinese Druqs:63 CAH Cases

作　　者：贺江平[1] 汪承柏[1] 朱纯吾[1] 

机构地区：[1]解放军三○二医院

出　　处：《宁夏医学杂志》1993年第2期81-84,共4页Ningxia Medical Journal

摘　　要：报道63例乙型CAH严重肝内胆汁郁积症住院病人血清中几种维生素含是中药治疗前后的改变。所有63例均经临床(病理检验49例)和多种HBV标记物确诊,Bil.>171μmol/L。中医辨证分为单纯血瘀血热(瘀热)组及瘀热兼心下停饮(兼证)组;均单用中药复方辨证论治。结果表明,治疗前后维生素A均异常明显地低于正常,维生素C均非常显著地居高,维生素E亦均显著地高于正常(而且,兼证组者还非常明显地高于瘀热组者)。讨论中认为,总地看来,单用中药复方治疗对这些维生素的代谢并无明显调节作用。Reporting 63 in patient cases of HBV chronic active hepatitis(CAH) complicated with severe intrahepatitic cholestasis, chiefly on their changes in serum cone. of vitamins A, C, & E before/after the administration of composite (prescriptions of) traditional Chinese drugs (CTCD). Their bilirubin were all>171 umol/L. Through differentiation of symptoms & signs, the inpatients were mainly classifiecl into Group A (blood statis-blood heat Zheng. 33 cases), and Group B (cases of A Zheng complicated with epigastric fluid retention Zheng. 25cases). both Groups being treated solely by course(s) of administration of CTCD——each case being treated according to his/her diffrentiation. Assaying of serum conc,of the above vitamins showed that, before & after treatrnent course(s), the vitamin A conc(s) were both much lower tnan normal, the vit. c conc(s) were both very evidently highs and,the vit.E conc(s)were also both much higher than normal (besides,GroupB's were even much higher than those of Group A).Theauthors tend to believe, as a whole, thru administration course(s) of CTCD, it seems that there wasn't any apparent quantitative regulatory effects upon the metabolism of these vitamins among these Groups A & B inpatients.

关 键 词：胆汁郁积 辨证论治 维生素A 黄疸 

分 类 号：R256.41[医药卫生—中医内科学]