中西医结合治疗肝硬化腹水并自发性腹膜炎临床探讨

Clincal study of integrated traditional chinese and western medincie in the treatment of hepato-cirrhosis ascites with spontanous beaterial peritonitis(SBP)

目的探讨中西医结合治疗肝硬化腹水并自发性腹膜炎（SBP）的临床疗效。方法选择62例肝硬化患者随机分为治疗组与对照组。治疗组31例采用中西医结合治疗,对照组仅用基础治疗。结果治疗组Tbil、TBA、ALT降低明显低于对照组（P〈0.01）,PTA上升明显高于对照组（P〈0.01）。感染指标恢复明显高于对照组（P〈0.01）。治疗组总有效率70.9%,明显高于对照组的32.2%（P〈0.01）。结论中西医结合治疗肝硬化腹水并自发性腹膜炎疗效显著。

Objective To Study clinieal effect of integrated traditional chinese and western nedincie in treating hepato- cirrhosis ascites with spontanous bacterial peritomtis（SBP）. Methods Sixty-two paients with hepa- to-cirrhosis ascites with spontanous beaterial peritonitis were randomly divided into treatment group （n = 31） and control group （n = 31）. There were not signifiant difference between treament group and control group in the child-pugh ABC patients. On the basis of comprrehensive cure, the treatment group was given integrated traditional chinese and western medcine once day . The contral group was only given the comprehensive cure. Results The serum level of TBil TBA and ALT were more lower in the treamtent group than that in the control group（ P 〈0.01） after treatmont. After treatmen, PTA was increased in the treatment group than that in the control group（ P 〈0.01）. Infection index was more lower in the treatment group than that in the control group（ P 〈 0.01）. The tocal effiacy rate was 70.9% in the treatment group and 32.2% in the control group. There were singnifiant difference between two group（ P 〈 0.01）. Conclusion It is significant effective using integrated traditional chinese and western medicine treatment to patients with hepato-cirrhosis ascites with spontanous beaterial peritonitis（SBP）.