浊霾散敷脐联合艾灸法治疗鼓胀(乙型肝炎肝硬化腹水)疗效评价

Efficacy of Hepatic Cirrhosis Ascites Treated with Umbilical Sticking of Zhuomai Powder and Moxibustion Therapy

目的:观察浊霾散敷脐联合艾灸疗法治疗肝硬化腹水的临床疗效,并浅析其作用机理。方法:60例乙肝肝硬化腹水患者,随机分为治疗组和对照组各30例,对照组保肝和利尿治疗,治疗组在对照组基础上联合浊霾散敷脐加艾灸神阙穴,疗程30 d,观察两组主要症状、体征、腹围、体重、24 h尿量、B超下腹水量、肝功能等方面的变化。结果治疗组临床有效率86.67%,对照组76.67%,治疗组疗效明显高于对照组(P<0.05);在症状与体征积分、腹围、体重、24 h尿量B超下腹水量和肝功能方面的差异有统计学意义(P<0.05)。结论:西医基础上合用浊霾散敷脐联合艾灸疗法疗效明显优于单纯西医对照组。

Objectives： To observe the variation of every clinical indexes,and then to evaluate the clinical effect.Methods： 60 cases were randomly divided into the treated group and the control group and there were 30 cases in each group.Each group had its own treatment method.The control group was given the conventional treatment,including diuresis and the protection of liver.The treated group add Zhuomai Powder applying at the umbilicus combined with moxibustion therapy.A course of treatment composed of 30 days and then we observed and recorded the changes of symptoms,signs,weights,circumference of abdomen,amount of urine for 24 hours,changes of ascites by abdominal Doppler ultrasound,liver function.Results： In the treated group,the total response rate was 86.67% and the total response rate was 76.67% in the other group.The curative effect of the treated group was higher than the control group＇s（ P〈0.05）.For the symptom scores,weights,abdominal perimeter,urinary volume for 24 hours and the changes of liver function,the differences between the two groups were statistically significant（ P〈0.05）.Conclusions： It was effective for hepatic cirrhosis ascites both in the treated group and the control group,however,the therapy treatment of the treated group was more effective.