中医辨证治疗肝硬变腹水疗效观察

Clinical observation of determination of treatment according to different signs and symptoms on liver cirrhosis with ascites

目的 观察中医辨证治疗肝硬变腹水疗效。方法 肝硬变腹水９５例，随机分为治疗组和对照组，治疗组４８例辨证分型治疗，气滞湿阻型应用柴胡疏肝汤合胃苓汤加减，水湿困脾型应用实脾饮加减，湿热蕴结型应用中满分消丸合茵陈蒿汤加减，肝脾血瘀型应用调营饮加减，脾肾阳虚型应用附子理中汤合五苓散、济生肾气丸加减，肝肾阴虚型应用六味地黄丸或一贯煎合膈下逐瘀汤加减，均水煎服，日 １剂；对照组４７例应用西医常规治疗。治疗２个月观察疗效。结果 治疗组总有效率 ８７． ５％，对照组总有效率 ５１． １％，２组总有效率比较有极显著差异（ Ｐ＜０． ００１）。结论 中医辨证治疗肝硬变腹水，疗效满意。

Objective To observe the therapeutic effect of determination of treatment ac- cording to different signs and symptoms on liver cirrhosis with ascites. Methods Ninety-five patients with liver cirrhosis with ascites were randomly divided into two groups. In treatment group (n=48) patients were classified to six types according to different signs and symptoms and treated by different prescriptions. In control group (n=47) patients were treated by routine Western medicine without classifying. The overall effective rate (87. 5% ) was remarkably higher in treatment group than those in control group (51. 1 %, P <0. 001 ). Conclusions Determination of treatment according to different signs and symptoms can produce definitive effect on liver cir- rhosis with ascites.