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目的:分析中药结合介入方法治疗恶性梗阻性黄疸的疗效。方法:在PTCD或ENBD基础上加用中药治疗恶性梗阻性黄疽患者20例,观察其治疗前后血清总胆红素(TB)、结合胆红素(DB)、总胆汁酸(TBA)、碱性磷酸酶(ALP)、谷氨酰氨基转移酶(GGT)、丙氨酸转氨酶(ALT)及治疗后每日胆汁引流量并与单纯PTCD或ENBD组20例比较。结果:治疗后两组患者的TB、DB、TBA、ALP、GGT、ALT、ALP均明显下降;在降低TB、DB、GGT、TBA、ALT及增加每日胆汁引流量方面治疗组更为显著(P<0.05)。结论:中药能显著降低恶性梗阻性黄疸患者TB、DB、GGT、TBA、ALT水平。
Objective: To analyze the curative effect of traditional Chinese medicine combined with interventional therapy on malignant obstructive jaundice. Methods: Twenty patients with malignant obstructive jaundice were treated with traditional Chinese medicine (PTCD) or ENBD. The levels of total bilirubin (TB), bound bilirubin (DB), total bile acid (TBA) ALP, GGT, ALT and daily bile drainage were compared with those in simple PTCD or ENBD group. Results: TB, DB, TBA, ALP, GGT, ALT and ALP in both groups were significantly decreased after treatment. The treatment group was more significant in reducing TB, DB, GGT, TBA and ALT and increasing daily bile drainage P <0.05). Conclusion: Chinese medicine can significantly reduce TB, DB, GGT, TBA and ALT levels in patients with malignant obstructive jaundice.