探讨慢性乙型肝炎高胆红素血症的临床疗效观察.docVIP

探讨慢性乙型肝炎高胆红素血症的临床疗效观察 勃利县勃利镇卫牛院154500 目的研究分析慢性乙型肝炎高胆红素血症患者的临床疗效观察。方法此 次研究的对象是选择2013年2月一2014年2月该院收治的120例慢性乙型肝炎 合并高胆红素血症患者，将其临床资料进行回顾性分析，并随机数字表法分成A、 B、 C、D4组，所有患者均采用常规治疗、保肝治疗，A组在常规基础上加用腺 昔蛋氨酸治疗，B组在常规基础上加用舒肝宁治疗，C组在常规基础上加用苦黄 注射液治疗，D组在常规基础上加用门冬氨酸■鸟氨酸治疗，对比四组疗效及实 验室检查指标。结果B、C、D3组患者的临床疗效比较差异无统计学意义 (Pgt；0.05)；而A组患者的治疗总有效率显著高于其余3组患者；4组患者均 没有出现显著不良反应；治疗后A组患者的临床症状、体征、肝功能改善显著优 于其余三组患者(Plt;0.05)o结论 在针对慢性乙型肝炎高胆红素血症患者的治 疗中，常规治疗基础上加用腺昔蛋氨酸的临床效果可靠、安全性高。 关键词慢性乙型肝炎；高胆红素血症；临床治疗 [Abstract] Objective To observe the clinical curative effect of chronic hepatitis B patients with hyperbilirubinemia. Method the research object is to choose a February 2013 - 2014 years 2 mon ths the hospital treated 120 cases of chr onic hepatitis B hepatitis with hyperbilirubinemia patients, the clinical data were retrospectively analyzed, and the random number table method is divided into a, B, D groups, all patients using conventional treatment, treatment of liver, a group on a regular basis with ademetionine treatment, B group on a regular basis with Shugan Ning in the treatment. In group C were on a routine basis with Kuhuang Injection in the treatment of, D group on a regular basis and aspartic acid - treatment ornithine, compared the effect of the four groups and experimental examination room in dex. Results in group B and group C and group D3 d iff ere nces in the clinical curative effect of no statistical significance(P gt; 0.05)； and treatment of patients in group a total efficiency was significantly higher than that in the other 3 groups patients； 4 patients all did not appear obvious adverse reactions； after treatment, a group of patients with clinical symptoms and signs, liver function change good significantly better than the other three groups patients (P lt; 0.05) . Conclusion in the treatment of chronic hepatitis B patients with hyperbilirubinemia, on the basis of conventional therapy plus highly reliable and safety for the clinical effect of ademeti onine. [keyword] chronic hepatitis； hyperbil