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艾灸联合药物治疗脾胃阴虚型肝硬化腹水腹胀临床观察 被引量:2

Clinical Observation on Moxibustion Combined with Drugs in Treating Abdominal Distension of Liver Cirrhosis Due to Yin Deficiency of Spleen and Stomach
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摘要 目的观察艾灸联合药物治疗肝硬化腹水腹胀的疗效。方法将66例肝硬化腹水患者,中医辨证为脾胃阴虚型患者,随机分为2组,各33例。对照组采用药物常规治疗;观察组在药物治疗的基础上,联合加柱隔姜灸治疗。结果观察组患者治疗腹水消退、腹胀减轻,总有效率为94.0%。对照组患者腹水、腹胀相对减轻,总有效率为73.0%,2组比较差异有统计学意义(P<0.05),表明观察组患者疗效明显优于对照组患者。结论艾灸联合药物对肝硬化腹水患者有利于腹胀的缓解,提高了患者的免疫力,促进血液循环,提高渗透压,从而达到减少腹水,减轻腹胀,缩减了腹围,改善了患者的临床症状,明显改善肝功能,使患者的生存生活质量明显提高。尤其在联合西医对症治疗方面,具有明显的临床优势,为临床治疗肝硬化腹水提供新的治疗途径。而且质量安全,费用较少,值得临床推广运用。 Objective To observe the curative effect of moxibustion combined with drugs on abdominal distension in cirrhotic patients with ascites.Methods 66 patients with liver cirrhosis and ascites of TCM syndrome differentiation of spleen and stomach yin deficiency type of patients were randomly divided into two groups.The control group of 33 patients applied conventional drug treatment.The observation group of 33 patients received column separated ginger moxibustion treatment method on the basis of drug treatment.Results In the observation group,the ascites subsided and abdominal distension reduced,and the total effective rate was 94%.In the control group,the ascites and abdominal distension reduced,and the total effective rate was 73%.The difference between the two groups was statistically significant(P<0.05),which showed that the curative effect of the observation group was obviously better than that of the control group.Conclusion Moxibustion combined with drugs on cirrhotic patients with ascites is conducive to the relief of abdominal distension,improve the patient's immunity,promote blood circulation,improve osmotic pressure,so as to reduce the ascites,reduce abdominal distension,reduced abdominal circumference,improve the patient's clinical symptoms,improve the liver function,so that patients living quality of life was significantly improved.Especially in the combination of Western medicine symptomatic treatment,it has obvious clinical advantages,which provide a new treatment pathway for the clinical treatment of cirrhotic ascites.And the quality is safe,and the cost is low.It is worthy of clinical popularization and application.
作者 李文香 王佳斌 LI Wenxiang;WANG Jiabin(Gastroenterology Department,Cangzhou Hospital of Integrated Traditional Chinese and Westerm Medicine,Hebei Province,Cangzhou 061000,China)
出处 《中国中医药现代远程教育》 2019年第10期87-88,共2页 Chinese Medicine Modern Distance Education of China
关键词 艾柱隔姜灸 中西医结合疗法 肝硬化 腹水 腹胀 臌胀 separated ginger moxibustion therapy of integrated medicine cirrhosis ascites abdominal distension tympanites
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