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目的:观察甘遂白芥子胶囊联合西医疗法治疗肝性胸水的临床疗效。方法:将符合纳入标准的50例患者随机分为治疗组与对照组各25例。对照组予常规西医治疗,治疗组在对照组基础上予甘遂白芥子胶囊治疗。观察比较两组疗效。结果:对照组总有效率为88.0%;治疗组为96.0%。两组比较,差异无统计学意义(P>0.05)。两组患者治疗后丙氨酸氨基转移酶(ALT)、门冬氨酸氨基转移酶(AST)、血清总胆红素(TBIL)、血清白蛋白(Alb)较治疗前均有明显改善(P<0.05),且治疗组改善程度优于对照组(P<0.05)。两组患者症状(咳嗽、呼吸困难、不能平卧、倦怠乏力)缓解时间比较,差异均有统计学意义(P<0.05)。结论:甘遂白芥子胶囊联合西医疗法治疗肝性胸水有较好的疗效。
Objective: To observe the clinical effect of Gan Sui Si mustard capsule combined with Western medical treatment of hepatic pleural effusion. Methods: Fifty patients who met the inclusion criteria were randomly divided into treatment group (n = 25) and control group (n = 25). The control group was given routine western medicine treatment, and the treatment group was treated with Gan Sui mustard capsule on the basis of the control group. Observation and comparison of two groups efficacy. Results: The total effective rate was 88.0% in the control group and 96.0% in the treatment group. There was no significant difference between the two groups (P> 0.05). After treatment, the levels of ALT, AST, TBIL and Alb in both groups were significantly improved (P <0.05), and the treatment group improved better than the control group (P <0.05). Two groups of patients with symptoms (cough, dyspnea, can not lie down, fatigue lazyness) to alleviate the time comparison, the difference was statistically significant (P <0.05). Conclusion: Gan Sui mustard capsule combined with Western medical treatment of hepatic pleural effusion has a good effect.