血浆置换联合穴位注射治疗重型肝炎临床观察  

Clinical Observation of Plasmapheresis plus Acupoint Injection for Severe Hepatitis

作　　者：覃雪英[1] 陆启峰[1] 覃后继[1] 黄美金[1] 丘海先[1] 邓凤莲[1] 

机构地区：[1]右江民族医学院附属医院,百色533000

出　　处：《上海针灸杂志》2014年第12期1091-1093,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：百色市科学研究与技术开发计划项目(百科计20120123)

摘　　要：目的观察血浆置换联合穴位注射治疗重型肝炎的疗效。方法将60例重型肝炎患者随机分为治疗组31例和对照组29例,两组均在内科综合治疗基础上给予血浆置换治疗,治疗组同时联合黄芪注射液足三里穴位注射,观察治疗后两组患者症状、体征、肝功能、凝血功能、血氨的变化情况。结果治疗后两组患者症状、体征及生化指标均明显改善,治疗组各项指标与对照组比较差异有统计学意义(P<0.05,P<0.01),治疗组总有效率高于对照组(P<0.05)。结论血浆置换联合穴位注射能有效改善重型肝炎患者近期病情,提高疗效,不良反应少。Objective To observe the clinical efficacy of plasmapheresis plus acupoint injection in treating severe hepatitis. Method Sixty patients with severe hepatitis were randomized into a treatment group of 31 cases and a control group of 29 cases. The two groups both received plasmapheresis in addition to the comprehensive internal medicine treatment, while the treatment group simultaneously received acupoint injection with Huang Qi （Radix Astragali） at Zusanli （ST 36）. After the intervention, the symptoms, signs, liver function, blood coagulation, and blood ammonia were observed in the two groups. Result After the intervention, the symptoms, signs, and biochemical indexes were significantly improved, and the indexes in the treatment group were significantly different from that in the control group （P〈0.05, P〈0.01）, and the total effective rate of the treatment group was markedly higher than that of the control group （P〈0.05）. Conclusion Plasmapheresis plus acupoint injection can effectively improve the short-term condition of the patients, enhance therapeutic efficacy, with fewer adverse reactions.

关 键 词：血浆交换 水针 重型肝炎 

分 类 号：R246.1[医药卫生—针灸推拿学]