中药敷脐治疗肝硬化腹水32例疗效观察

Clinical Observation on Treating 32 Patients with Cirrhosis Hydroperitoneum by Chinese Medicine's Umbilical Compression Therapy

[目的]探讨中药敷脐治疗肝硬化腹水的临床疗效与安全性。[方法]64例肝硬化腹水患者随机分为观察组和对照组各32例。对照组予以常规西医疗法对症处理,观察组在对照组基础上,给予中药十枣汤为基本方加蝼蛄研粉后敷脐治疗,昼敷夜停,1次/d,5d为1疗程,治疗4～6个疗程。观察患者治疗前后腹围、血电解质、体重、肝功能等变化。[结果]观察组与对照组总有效率分别为81.3%与62.5%,两组比较差异具有统计学意义(P<0.05)。[结论]该方法能提高肝硬化腹水的治疗效率。

[Objective] To explore the clinical efficacy and safety of treating cirrhosis hydroperitoneum by Chinese medicine’s umbilical compression therapy.[Methods] 64 patients were randomly divided into observation and control groups,and 32 cases in each group.Control group were given conventional western medicine therapy.Observation group were added mole cricket powder based on shizao decoction.Observe patients’ abdominal circumference,serum electrolytes,body weight and liver function’s changes before and after treatment.[Results] Total efficacy of observation group and control group were 81.3% and 62.5% respectively,the differences were statistically significant.[Conclusion] Adopting umbilical compression therapy by Chinese medicine on the basis of western medicine is effective to cirrhosis hydroperitoneum,with less side effects,economical,convenient,and especially suitable for primary hospital to practice and promote it.