世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2015年
2期
169-173
,共5页
邢枫%陶艳艳%张华%赵长青%顾宏图%慕永平%袁继丽%周扬%刘成海
邢楓%陶豔豔%張華%趙長青%顧宏圖%慕永平%袁繼麗%週颺%劉成海
형풍%도염염%장화%조장청%고굉도%모영평%원계려%주양%류성해
肝硬化%难治性腹水%中药%病证结合%外治
肝硬化%難治性腹水%中藥%病證結閤%外治
간경화%난치성복수%중약%병증결합%외치
Cirrhosis%Refractory ascites%Traditional Chinese medicine%Combination disease and syndrome%External treatment
目的:探讨病证结合中药内服与消胀贴膏脐部外敷对肝硬化难治性腹水的治疗作用。方法:选择2011年3月至2014年2月我科肝硬化难治性腹水患者80例,随机分为对照组与观察组,对照组以常规西药治疗,观察组在其基础上,采用病证结合中药复方内服,并脐敷中药消胀贴膏。比较治疗前后患者体重、腹围、24小时尿量、主要症状(腹胀、纳食、排气、排便)及血清肝肾功能、电解质。结果:脱落1例,完成79例。2组患者基线资料一致。对体重、腹围、尿量以及主要症状,2组治疗后均明显改善,而治疗前后体重、腹围、尿量、腹胀、纳食及排气前后差值的组间比较,观察组均优于对照组,观察组显效率明显高于对照组。2组间治疗前后肝肾功能及电解质差值无统计学意义。结论:对于肝硬化难治性腹水患者,病证结合中药内服与消胀贴膏脐部外敷可提高常规西药治疗的临床疗效。
目的:探討病證結閤中藥內服與消脹貼膏臍部外敷對肝硬化難治性腹水的治療作用。方法:選擇2011年3月至2014年2月我科肝硬化難治性腹水患者80例,隨機分為對照組與觀察組,對照組以常規西藥治療,觀察組在其基礎上,採用病證結閤中藥複方內服,併臍敷中藥消脹貼膏。比較治療前後患者體重、腹圍、24小時尿量、主要癥狀(腹脹、納食、排氣、排便)及血清肝腎功能、電解質。結果:脫落1例,完成79例。2組患者基線資料一緻。對體重、腹圍、尿量以及主要癥狀,2組治療後均明顯改善,而治療前後體重、腹圍、尿量、腹脹、納食及排氣前後差值的組間比較,觀察組均優于對照組,觀察組顯效率明顯高于對照組。2組間治療前後肝腎功能及電解質差值無統計學意義。結論:對于肝硬化難治性腹水患者,病證結閤中藥內服與消脹貼膏臍部外敷可提高常規西藥治療的臨床療效。
목적:탐토병증결합중약내복여소창첩고제부외부대간경화난치성복수적치료작용。방법:선택2011년3월지2014년2월아과간경화난치성복수환자80례,수궤분위대조조여관찰조,대조조이상규서약치료,관찰조재기기출상,채용병증결합중약복방내복,병제부중약소창첩고。비교치료전후환자체중、복위、24소시뇨량、주요증상(복창、납식、배기、배편)급혈청간신공능、전해질。결과:탈락1례,완성79례。2조환자기선자료일치。대체중、복위、뇨량이급주요증상,2조치료후균명현개선,이치료전후체중、복위、뇨량、복창、납식급배기전후차치적조간비교,관찰조균우우대조조,관찰조현효솔명현고우대조조。2조간치료전후간신공능급전해질차치무통계학의의。결론:대우간경화난치성복수환자,병증결합중약내복여소창첩고제부외부가제고상규서약치료적림상료효。
Objective:To investigate the efficacy of oral traditional Chinese herbal of combination disease and syndrome and um-bilical compress with Xiaozhang Tie cataplasm in treating refractory ascites induced by liver cirrhosis.Methods:Eighty patients with cirrhosis and refractory ascites were randomly divided into two groups of equal size.The patients in control group were treated with primary therapy,while the test group took an oral traditional Chinese herbal of combination disease and syndrome and umbili-cal compress with Xiaozhang Tie cataplasm additionally.Efficacy was evaluated according to the criterion including ascites volume, body weight,abdominal circumference,urine 24-hour volume and major syndromes including abdominal distention,appetite,fla-tus and defecation.Results:Seventy-nine patients completed the study,1 were withdrawn.The two groups were comparable on baseline.Both groups showed decreased body weight and abdominal circumference,increased urine volume and improved symp-toms after treatment.However,the differences between pre-treatment and post-treatment in body weight,abdominal circumfer-ence,urine volume,abdominal distention,appetite and flatus were noticeably higher in the test group (n=39)than those in the control group (n=40).The effective rate of grade I and grade II was 52.5%for the test group and 25.0%for the control one (P<0.05 ).Conclusion:Traditional Chinese herbal of combination disease and syndrome and umbilical compress with Xiaozhang Tie cataplasm shows a remarkable adjuvant efficacy on refractory ascites induced by cirrhosis.