大黄乌梅汤灌肠联合消胀散贴敷治疗肝源性腹胀随机平行对照研究

Rhubarb Plum Soup Enema Combined Disperse Like Expansion were Applied in Treatment of Liver Grafts Abdominal Distension Random Parallel Control Study

[目的]观察大黄乌梅汤灌肠联合消胀散贴敷治疗肝源性腹胀疗效。[方法]使用随机平行对照方法．将76例门诊及住院患者患者按随机数字表法分为两组．对照组38例乳果糖。15mL／次．3次／d．口服。治疗组38例大黄乌梅汤（大黄10g、乌梅20g），1剂／d，水煎80～100mL，1次／d，灌肠。消胀散（麝香、生三棱、木香、生莪术、冰片、生水蛭各15～20g，冰片3g，葱白1根），捣成糊状并加入少量食用醋及蜂蜜平摊在两片麝香止痛膏中央．脐上贴敷。24h/次。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗2疗程，判定疗效。[结果]治疗组显效20例，有效16例．无效2例，总有效率94．74％。对照组显效18例，有效14例。无效6例，总有效率84．21％。治疗组疗效优于对照组（P〈0．01）。腹胀情况两组均有改善（P〈0．05），治疗组改善优于对照组（P〈0．05）。[结论]大黄乌梅汤灌肠联合消胀散贴敷治疗肝源性腹胀效果显著．值得推广。

[ Objective ] To observe the rhubarb plum soup enema joint swelling elimination were applied in treatment of liver grafts abdominal distension curative effect. [ Methods ] Using random parallel control method, 76 eases of outpatient and inpatient patients into two groups according to random number table method. The control group of 38 cases of laetulose, 15 ml/time, 3 times/d, oral. The treatment group 38 examples rhubarb plum soup （ Dahuang 10g, Wumei 20g ）, ebony, 1 / d, decoction of 80 ~ 100 ml, 1 / d, enema. Disperse like expansion （Shexiang, Shengsanleng, Muxiang, Shengwoshu, Bingpian, Shengshuizhi each 15 ~ 20g, Bingpian 3g, a Congbai ）, dao split into a paste and add a small amount of vinegar and honey in the middle of the two pieces of musk, acetanilide, apply on umbilical 24 h/time. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Results ] The treatment group 20 cases were markedly effective, effective in 16 eases, ineffective in 2 eases, total effective rate was 94.74%. The control group 18 eases had marked effect, 14 effective, 6 no effect, the total effective rate was 84.21%. The treatment group curative effect is better than that of control group （ P〈 0.01 ） . Abdominal distension of two groups were improved （ P〈z 0.05 ）, the treatment group is better than that of control group （ P〈 0.05 ） . Rhubarb plum soup enema. [ Conclusion ] Joint swelling elimination dispersion were applied in treatment of liver grafts abdominal distension effect is remarkable, is worth promoting.