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급성 바이러스성 A형 간염의 한방치료 5례에 관한 임상보고

Clinical Studies on 5 Cases of Acute Viral Hepatitis A Treated by Oriental Medicine

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초록

We conducted this study to report the clinical manifestations of 5 acute viral hepatitis type A treated by oriental medical treatment. Five hepatitis A patients who visited OO oriental hospital from May 2008 to July 2009 were treated by oriental medical treatment, including herbal acupuncture, acupuncture and herbal medicine and western medical treatment, including fluid therapy and peroral medicine. Prodromes were similar to influenza and duration from symptom onset to first visit were 5.0 ± 1.6 days. Chief symptoms included jaundice, itching, dark urine, anorexia, fatigue, nausea, vomiting, abdominal discomfort. The mean values of the initial laboratory test were serum total bilirubin(TB) of 3.62 ± 2.77 mg/dL, aspartate aminotransferase(AST) of 729 ± 422 IU/L, alanine aminotransferase(ALT) 774 ± 754 IU/L. The peak mean values of those were 6.30 ± 2.13 mg/dL, 2177 ± 2573 IU/L, 2238 ± 1682 IU/L respectively. The mean duration of hospitalization were 15 ± 3 days. Follow-up at 3 weeks after discharge showed that all patients recovered without complications. Treatment of oreintal medicine has effectiveness on acute viral hepatitis type A. Further study is needed.

Abstract

We conducted this study to report the clinical manifestations of 5 acute viral hepatitis type A treated by oriental medical treatment. Five hepatitis A patients who visited OO oriental hospital from May 2008 to July 2009 were treated by oriental medical treatment, including herbal acupuncture, acupuncture and herbal medicine and western medical treatment, including fluid therapy and peroral medicine. Prodromes were similar to influenza and duration from symptom onset to first visit were 5.0 ± 1.6 days. Chief symptoms included jaundice, itching, dark urine, anorexia, fatigue, nausea, vomiting, abdominal discomfort. The mean values of the initial laboratory test were serum total bilirubin(TB) of 3.62 ± 2.77 mg/dL, aspartate aminotransferase(AST) of 729 ± 422 IU/L, alanine aminotransferase(ALT) 774 ± 754 IU/L. The peak mean values of those were 6.30 ± 2.13 mg/dL, 2177 ± 2573 IU/L, 2238 ± 1682 IU/L respectively. The mean duration of hospitalization were 15 ± 3 days. Follow-up at 3 weeks after discharge showed that all patients recovered without complications. Treatment of oreintal medicine has effectiveness on acute viral hepatitis type A. Further study is needed.

참고문헌 (20)

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