甘遂散脐敷结合中药灌肠治疗肝腹水诱发的氮质血症临床观察

Clinical Observation on Gansui Scattered Umbilical Application and TCM Enema in Treatment of Azotaemia Caused by Ascites

目的:探讨甘遂散脐敷结合中药灌肠治疗肝腹水诱发的氮质血症的临床疗效与安全性。方法:设立治疗组(对症治疗+甘遂脐敷贴+中药保留灌肠)和对照组(对症治疗+肥皂水灌肠),观察及检测治疗6月前后腹水消减、肝肾功能改变、生化指标水平。结果:治疗组在腹水消减,肾功能改善的总有效率(87.56%)>对照组(46.33%),生化指标降低较对照组有显著差异。结论:甘遂散脐敷结合中药灌肠治疗肝腹水诱发的氮质血症疗效显著,未见不良反应。

Objective ： To discuss the effh~＇acy and safety of Gansui Scattered Umbilical Application combined with lra- ditional Chinese medicine enema in treatment of the azotaemia caused by ascites. Method： The principle of randomized double - blind method was adopted ： the control group （A） ： symptomatic treatment ＋ soap water enema ; the experimental group （B） ：symptomatic treatment ＋ Gansui Scattered Umbilical Application ＋ Chinese medicine retention enema. The liver cirrhosis ascites, the liver function, the kidney function change and the biochemical index level were observed and detected six months later. Results ： The total effective rate of the treatment group was 87.56%, better than that of the con- trol group（46.33% ） and the biochemical index was lower than that of the control group. Conclusion： Gansui Scattered Umbilical Application combined with traditional Chinese medicine enema in the treatment of azotaemia has obvious cura- tive effect and no side effects.