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目的:观察中医联合利尿剂治疗肝硬化腹水的临床治疗效果。方法:选取我院2013年1月~2014年9月收治的72例肝硬化腹水患者为受试对象,采用简单抽样法随机分成A、B两组。B组给予氢氯噻嗪片+安体舒通片+维生素C等常规西药方案,A组在上述基础上予以口服中药汤剂联合敷脐疗法,比对两组患者临床治疗效果及不良反应发生情况,记录其治疗前后肝功能各指标变化差异。结果:1治疗后A组总有效率为87.18%,明显高于B组的60.61%(P<0.05);2治疗后,两组患者谷丙转氨酶、总胆红素和谷草转氨酶均较治疗前明显降低(P<0.05),血浆蛋白水平则显著增高,且A组增幅大于B组(P<0.05);3治疗后,A组腹水消退时间(17.91±4.24)天,明显短于B组的(28.42±6.24)天(P<0.05);A组治疗后除3例于敷脐处轻微发红外无严重不良反应发生,两组患者在尿常规及肾功能检测中均无异常。结论:对肝硬化腹水患者给予常规西药联合口服中药汤剂与敷脐疗法,临床治疗效果显著,值得推广使用。
Objective: To observe the effect of TCM combined diuretic in the treatment of cirrhosis and ascites. Methods: Seventy-two patients with cirrhosis and ascites who were treated in our hospital from January 2013 to September 2014 were selected as the subjects and randomly divided into A and B groups by simple sampling method. Group B was given hydrochlorothiazide tablets + spironolactone + vitamin C and other conventional Western programs, A group on the basis of oral administration of Chinese medicine decoction combined with umbilical therapy, the two groups of patients compared the clinical efficacy and adverse reactions, record Before and after treatment of liver function changes in different indicators. Results: After treatment, the total effective rate of group A was 87.18%, which was significantly higher than that of group B (60.61%, P <0.05). After 2 treatment, the alanine aminotransferase, total bilirubin and aspartate aminotransferase (P <0.05), and the level of plasma protein in group A was significantly higher than that in group B (P <0.05). After treatment 3, the ascites subsidence time in group A (17.91 ± 4.24) days was significantly shorter than that in group B (28.42 ± 6.24) days (P <0.05). There was no serious adverse reactions in group A except for three cases of slight infantile infrared emission at umbilicus. There was no abnormality in urine routine and renal function tests in both groups. Conclusion: The treatment of ascites in patients with cirrhosis with conventional Western medicine combined with oral medicine decoction and umbilical therapy, the clinical treatment of significant results, it is worth promoting the use of.