针刺治疗急性淤胆型肝炎疗效观察

Therapeutic Observation of Acupuncture in Treating Acute Cholestatic Hepatitis

目的观察针刺治疗急性淤胆型肝炎的临床疗效。方法将72例急性淤胆型肝炎随机分为治疗组和对照组,每组36例。治疗组采用针刺阴陵泉、阳陵泉、日月穴治疗,对照组采用口服托尼奈酸片治疗。比较两组临床疗效及治疗前后各项肝功能指标(总胆红素、结合胆红素、谷草转氨酶、谷丙转氨酶、碱性磷酸酶及谷氨酰转肽酶)。结果治疗组总有效率和愈显率分别为94.3%和62.9%,对照组分别为88.2%和44.1%,两组比较差异均具有统计学意义(P<0.05)。两组治疗后肝功能各项指标与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后肝功能各项指标与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺是一种治疗急性淤胆型肝炎的有效方法。

Objective To observe the clinical efficacy of acupuncture in treating acute cholestatic hepatitis. Method Seventy-two patients with acute cholestatic hepatitis were randomized into a treatment group and a control group, 36 in each group. The treatment group was intervened by acupuncture at Yinlingquan （SP 9）, Yanglingquan （GB 34）, and Riyue （GB 24）, while the control group was by oral administration of Tolynicate and Naphthylacetic Acid Tablets. The clinical efficacies and liver function indexes [total bilirubin （TB）, conjugated bilirubin （CB）, glutamic-oxaloacetic transaminase （GOT）, glutamic-pyruvic transaminase （GPT）, alkaline phosphatase （ALP）, and glutamyltranspetidase （GGT） were compared. Result The total effective rate and recovery-markedly effective rate were respectively 94.3% and 62.9% in the treatment group versus 88.2% and 44.1% in the control group, and the differences were statistically significant （P〈0.05）. The liver function indexes were changed significantly in both groups after treatment （P〈0.01）. After treatment, the differences in the liver function indexes were statistically signiftcant between the two groups （P〈0.05）. Conclusion Acupuncture is an effective approach in treating acute cholestatic hepatitis.