基于阴阳互根理论运用通阴三阳灸治疗肝硬化腹水临床观察

Clinical Observation of Tongyin Sanyang Moxibustion for Cirrhosis Ascites Based on the Theory of Complementary Yin and Yang

目的:观察通阴三阳灸治疗肝硬化腹水患者的临床疗效。方法:将72例乙肝肝硬化腹水患者随机分为2组,各36例,对照组采用西医基础治疗,治疗组在对照组治疗的基础上加用通阴三阳灸治疗,2组均以9天为1疗程,共治疗3疗程。观察2组治疗前后腹水消退情况、24 h尿量、体质量、腹围、慢性肝病量表(CLDQ)的变化。结果:治疗后2组腹围减小(P <0.05),24 h尿量、体质量均较治疗前增加(P <0.05);且治疗组上述指标改善较对照组更显著(P <0.05)。治疗后2组腹水消退分级均较治疗前改善,差异有统计学意义(P <0.05);且治疗组腹水消退分级改善优于对照组(P <0.05)。治疗后,2组患者CLDQ中全身症状、乏力、腹部症状、情感功能、焦虑、活动等方面评分均较治疗前升高(P <0.05);且治疗组的全身症状、乏力、腹部症状、活动评分升高较对照组更显著(P <0.05)。结论:西医基础治疗联合通阴三阳灸治疗乙肝肝硬化腹水临床疗效显著,值得临床推广应用。

Objective： To observed the clinical effect of Tongyin Sanyang moxibustion for cirrhosis ascites. Methods： Divided 72 cases of patients with hepatitis B cirrhosis ascites into two groups randomly,36 cases in each group. The control group received basic western medicine for treatment,while the treatment group additionally received Tongyin Sanyang moxibustion base on the treatment of the control group. The two groups were treated for three courses, nine days being a course. Observed the changes of ascites disappearance,24 h urine volume,weight,abdominal circumference and chronic liver disease questionnaire（CLDQ） before and after treatment in the two groups. Results：After treatment,abdominal circumference reduction（P〈0.05）,24 h urine volume and weight in the two groups were increased when compared with those before treatment（P〈0.05）,and the improvement of the treatment group was more obvious than that in the control group（P〈0.05）. After treatment,grade of ascites disappearance in the two groups was improved when compared with that before treatment,the difference being significant（P〈0.05）,and the improvement of the treatment group was better than that in the control group（P〈0.05）. After treatment, scores of general symptoms, hypodynamia, abdominal symptoms,emotional function, anxiety and activity in CLDQ in the two groups were increased when compared with those before treatment（P〈0.05）,and the improvement in scores of general symptoms,hypodynamia,abdominal symptoms and activity was more obvious than that in the control group（P〈0.05）. Conclusion：The therapy of basic western medicine combined with Tongyin Sanyang moxibustion has significant clinical effect in treating hepatitis B cirrhosis ascites,which is worthy of promotion and application in clinical practice.