76例肝硬化难治性腹水的临床治疗与效果评价

Clinical treatment and effect evaluation of 76 patients with liver cirrhosis combined with refractory ascites

目的探讨不同治疗方法对肝硬化难治性腹水的治疗效果。方法选取本科肝硬化(肝功能Child-Pugh分级B级)合并难治性腹水患者76例。随机分为试验组和对照组,对照组患者采取单纯的常规治疗方法,试验组采取常规方法结合腹水排放治疗法,比较两组患者治疗效果。结果与单纯的常规治疗方法相比,试验组腹水消退的显效人数、腹水消退率、显效时间、平均显效时间以及对并发症的控制均明显优于对照组,差异均有统计学意义(P<0.05)。结论采用常规方法结合腹水排放法治疗肝硬化难治性腹水,临床效果明显,具有较高的安全性、操作性,值得临床推广使用。

Objective To study the therapeutic effect of different methods in treatment of liver cirrhosis combined with refractory ascites.Methods Seventy-six cases of patients of cirrhosis combined with refractory ascites in our department（liv er function Child-Pugh grade B） were randomly divided into experimental group and control group,patients in control group were given conventional treatment,while patients in experimental group were given conventional treatment combined with ascites emissions therapy,the treatment effect of two groups were compared.Results Compared with purely conventional treatment,the markedly effect number of ascites retrogression,rate of ascites retrogression,markedly effect time,av erage markedly effect time and the control of complications in experimental group were better than that of control group,the differences were all statistically significant（P 0.05）.Conclusion The effect of conventional methods combined with ascites emissions therapy in treatment of cirrhosis combined with refractory ascites is obvirous,security and operability is high,so it is worthy of clinical promotion.