中西医结合治疗肝炎后肝硬化肝性胸水32例疗效观察

Treatment of Cirrhosis Hepatic Hydrothorax After Hepatitis by TCM Combined with Western Medicine:A Clinical Observation of 32 Cases

目的:观察中西医结合治疗肝炎后肝硬化肝性胸水的临床疗效。方法:将62例患者随机分为2 组。治疗组32例在常规西医综合治疗基础上加服四妙回春汤(基本方:生黄芪、鳖甲、葶苈子、紫菀、车前子、大腹皮、桔梗、茯苓皮、白术、泽兰、蜀羊泉、大枣)治疗;对照组30例以常规西医综合治疗。2周为1 疗程,连续治疗1-3疗程。观察2组临床疗效及复发情况。结果:治疗组显效14例,有效17例,无效1 例,总有效率96.9%;对照组显效7例,有效15例,无效8例,总有效率73.3%。2组总有效率比较,差异有非常显著性意义(P<0.01)。治疗组随访30例,复发4例,复发率13.3%;对照组随访22例,复发10 例,复发率45.5%。2组复发率比较,差异有显著性意义(P<0.05)。结论:中西医结合疗法治疗肝炎后肝硬化肝性胸水疗效满意,复发率低。

Objective： To observe the curative effect of TCM combined with western medicine（WM） for cirrhosis hepatic hydrothorax （CHH） after hepatitis. Methods： 62 cases were allocated to 2 groups randomly. The treatment group （32 cases） was treated by routine WM, and added with Simiao Huichun Tang （composed of Radix Astragali, Carapax Trionycis, Semen Lepidii seu Descurainiae, Radix et Rhizoma Asteris, Semen Plataginisl, Pericarpium Arecae, Radix Platycodonis, Exodermis Poriae, Rhizoma Atractylodis Macrocephalae, Herba Lycopi and Fructus Jujubae）, and control group （30 cases） by routine WM alone. 2 weeks constituted a course of treatment and 1 -3 courses were given continuously. The clinical curative effect and recurrent situation were observed. Results： In treatment group, 14 cases were markedly effective, 17 cases effective and 1 case ineffective, the total effective rate was 96.9% ; and 7, 15, 8 and 73.3% in control group respectively （ P 〈 0. 01 ）. In treatment group, a follow - up in 30 cases, 4 cases were recurred （13.3%）; in control group, a follow -up in 22 cases, 10 cases were recurred （45.5%）, the comparison between 2 groups showed marked significance（ P 〈 0.05）. Conclusion： The therapy of TCM combined with WM possesses a satisfactory curative effect for CHH after hepatitis.