鳖甲煎丸加减治疗肝硬变顽固性腹水29例

Twenty-Nine Cases with Refractory Cirrhotic Ascites Treated with Modified Turtle Shell Decocted Pill

目的：观察鳖甲煎丸加减治疗肝硬变顽固性腹水的临床疗效。方法：将肝硬变顽固性腹水患者随机分为对照组和治疗组各29例,对照组给予西医常规治疗,治疗组在对照组治疗的基础上给予鳖甲煎丸加减治疗,两组均以30 d为1个疗程。疗程间休息4~5 d,连续治疗3个疗程后评定疗效。结果：对照组有效率为65.52%,治疗组有效率为86.21%,两组有效率比较,差异有显著性（P〈0.05）。结论：鳖甲煎丸加减治疗肝硬变腹水疗效肯定。

Objective： To observe the clinical effects of Modified Turtle Shell Decocted Pill on refractory cirrhotic ascites（ RCA）.Methods： Patients with RCA were randomly divided into control group and treatment group,with 29 cases in each group. Control group were given conventional western medicine treatment while treatment group were added with Modified Turtle Shell Decocted Pill,30 days as a treatment group and 4- 5 days of rest during every two treatment courses. The efficacy was determined after continuous 3 weeks. Results： The effective rate was 65. 52% in control group and 86. 21% in treatment group; the difference had statistical significance（ P 〈 0. 05）.