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目的探讨温阳活血化湿法治疗小儿胆道闭锁术后的临床效果。方法选取胆道闭锁术后的患儿56例,随机分为两组,每组28例。两组患儿均给予手术后的西医常规抗炎、保肝利胆治疗,治疗组在此基础上给予温阳活血化湿中药辨证治疗,3个疗程后,观察比较患儿的一般临床症状体征、肝功能指标,生长发育状况。结果两组患儿在治疗后,治疗组的总有效率达89.29%,对照组的有效率仅为60.71%,两组比较治疗组的疗效优于对照组,差异有统计学意义(P<0.05)。在治疗后,两组患儿的各项肝功能指标均较前降低差异有统计学意义(P<0.05),但是,治疗组明显优于对照组,P<0.05,差异有统计学意义。结论对小儿胆道闭锁术后患儿采用温阳活血化湿法辨证治疗可以明显的改善患儿的临床症状,改善肝功能,且无明显的不良反应,临床效果满意。
Objective To investigate the clinical effect of warming Yang, promoting blood circulation and removing dampness on pediatric biliary atresia. Methods 56 cases of children after biliary atresia were randomly divided into two groups, 28 cases in each group. Two groups of children were given conventional western medicine anti-inflammatory, liver and gallbladder treatment, the treatment group on the basis of Warming Yang and promoting blood circulation and dampness syndrome differentiation treatment, after 3 courses, observed and compared the general clinical signs and symptoms , Liver function indicators, growth and development status. Results After treatment, the total effective rate of the two groups was 89.29%, while that of the control group was only 60.71%. The curative effect of the two groups was better than that of the control group (P <0.05 ). After treatment, the indicators of liver function of the two groups were significantly lower than the former (P <0.05), however, the treatment group was significantly better than the control group, P <0.05, the difference was statistically significant. Conclusion Children with biliary atresia after treatment with syndrome differentiation of yang-warming and promoting blood circulation and dampness can significantly improve the clinical symptoms, improve liver function, and no obvious adverse reactions, the clinical effect is satisfactory.