中国当代医药2024,Vol.31Issue(13) :80-83.

甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征的临床效果

Clinical effect of modified Ganlu Xiaodu Micropills in the treatment of intrahepatic cholestasis of pregnancy

彭瑶 夏晓健 陈瑾 梁艳 杨琦
中国当代医药2024,Vol.31Issue(13) :80-83.

甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征的临床效果

Clinical effect of modified Ganlu Xiaodu Micropills in the treatment of intrahepatic cholestasis of pregnancy

彭瑶 1夏晓健 1陈瑾 1梁艳 1杨琦1
扫码查看

作者信息

  • 1. 江西省妇幼保健院中医科,江西南昌 330000
  • 折叠

摘要

目的 探讨甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征(ICP)的临床效果.方法 选取2021年10月至2022年6月在江西省妇幼保健院就诊的60例ICP患者作为研究对象,根据随机数字表法分为对照组和研究组,每组各30例.对照组给予常规西药治疗,研究组给予甘露消毒丹加减治疗.比较两组患者的瘙痒程度评分,胆红素[总胆红素(TBil)、间接胆红素(IBil)、结合胆红素(DBil)],肝功能[丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)],并对两组患者不良妊娠结局进行观察.结果 研究组治疗后的皮肤瘙痒评分及TBil、IBil、DBil水平均低于对照组,差异有统计学意义(P<0.05);研究组的ALT、AST水平均低于对照组,差异有统计学意义(P<0.05);研究组的不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05).结论 甘露消毒丹加减治疗ICP患者能改善患者临床症状及肝功能,缓解皮肤瘙痒程度,减少不良妊娠结局的发生.

Abstract

Objective To explore the clinical effect of modified Ganlu Xiaodu Micropills in the treatment of intrahepatic cholestasis of pregnancy(ICP).Methods A total of 60 patients with ICP treated in Jiangxi Maternal and Child Health Hos-pital were selected as the research objects from October 2021 to June 2022,and they were divided into control group and study group according to random number table method,with 30 cases in each group.The control group was treated with con-ventional western medicine,and the study group was treated with modified Ganlu Xiaodu Micropills.The scores of pruritus degree,bilirubin(total bilirubin[TBil],indirect bilirubin[IBil],direct bilirubin[DBil])and liver function(alanine amino-transferase[ALT],aspartate aminotransferase[AST])in the two groups were compared.And the adverse pregnancy outcomes in the two groups were observed.Results After treatment,the score of pruritus degree,levels of TBil,IBil and DBil in study group were lower than those in control group,and the differences were statistically significant(P<0.05).The levels of ALT and AST in study group were lower than those in control group,and the differences were statistically significant(P<0.05).and the total incidence of adverse pregnancy outcomes was lower than that in control group,and the difference was statisti-cally significant(P<0.05).Conclusion Modified Ganlu Xiaodu Micropills can improve clinical symptoms and liver func-tion,relieve pruritus and reduce the occurrence of adverse pregnancy outcomes in ICP patients.

关键词

甘露消毒丹加减/妊娠期肝内胆汁淤积综合征/肝功能/临床疗效

Key words

Modified Ganlu Xiaodu Micropills/Intrahepatic cholestasis of pregnancy/Liver function/Clinical efficacy

引用本文复制引用

基金项目

江西省卫生健康委科技项目(202211150)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量20
段落导航相关论文