中医中药治疗肝硬化腹水的临床探讨

Clinical Effect of Chinese Medics and Traditional Chinese Medicine in the Treatment of Ascites of Hepatic Cirrhosis

目的：探讨中医中药治疗肝硬化腹水的临床疗效。方法：将96例肝硬化腹水患者随机分为两组各48例，对照组口服螺内酯，呋塞米，维生素C，复合维生素B2片；治疗组在对照组用药的基础上通过辩证论治使用中药基本方随症加减，30d为1个疗程，连续3个疗程。结果：治疗后治疗组总有效率达91．7％，对照组总有效率为77．1％，两组总有效率比较，经x2检验，x2值为3．8716，差异具有统计学意义（P〈0．05），治疗组疗效优于对照组。结论：中医中药治疗肝硬化腹水，辨病辨证相结合，以中医辨证的基础上辨病选药。

Objective： To discuss the clinical effect of Chinese medics and traditional Chinese medicine in the treatment of ascites of hepatic cirrhosis. Methods： 96 patients with ascites of hepatic cirrhosis were randomly divided into two groups, each one included 48 cases. The control group took the oral administration of spironolactone, furosemide, vitamin C and vitamin B2 complex; the treatment group received the basic prescription based upon the medication of the control group and added or reduced the treatment according to the symptoms differentiation, 30d as 1 course, taking 3 courses continuously. Results： The total effective rate in the treatment group after the treatment was 91.7%, with the one of 77.1% in the control group. Took x2 test to compare the total effective rate of two groups, with x2 of 3.8716. The effect of treatment group was better than the one of control group, with the statistical significance （P〈0.05）. Conclusion： Chinese medics and traditional Chinese medicine in the treatment of ascites of hepatic cirrhosis combine the disease diagnosing and syndrome identifying, diagnose the diseases and choose the medicine based upon the symptoms differentiation and thus improve the curative effect.