肝硬化顽固性腹水患者采取十枣汤联合当归补血汤治疗的临床价值

Clinical Value of Shizao Decoction Combined with Danggui Buxue Decoction in the Treatment of Refractory Ascites Due to Liver Cirrhosis

目的:研究肝硬化顽固性腹水患者采取枣汤十当归补血汤治疗的临床价值。方法:于笔者所在医院2018年4月-2019年5月收治的肝硬化顽固性腹水患者中选取63例开展研究,随机分为观察组32例和对照组31例。对照组采用常规西药治疗,观察组在对照组基础上采用十枣汤+当归补血汤治疗,对比两组治疗后腹围、24 h尿量、血浆清蛋白、血清电解质检测结果和临床治疗效果。结果:观察组腹围小于对照组,差异有统计学意义(P<0.05);观察组尿量多于对照组,差异有统计学意义(P<0.05);观察组血浆清蛋白高于对照组,差异有统计学意义(P<0.05);观察组K+高于对照组,差异无统计学意义(P>0.05);观察组Na^+与Cl^-均高于对照组,差异均有统计学意义(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:采用十枣汤+当归补血汤治疗肝硬化顽固性腹水能够明显减小患者腹围,增加尿量,提高血浆清蛋白水平,纠正电解质紊乱,在临床中的应用价值较高,值得广泛推广应用。

Objective:To study the clinical value of Shizao Decoction+Danggui Buxue Decoction in the treatment of refractory ascites due to liver cirrhosis.Method:A total of 63 patients with refractory ascites due to liver cirrhosis admitted to our hospital from April 2018 to May 2019 were randomly divided into the observation group(32 cases)and the control group(31 cases).The control group was treated with conventional western medicine.The observation group was treated with Shizao Decoction+Danggui Buxue Decoction on the basis of the control group.The abdominal circumference,24 h urine volume,plasma albumin,test results of serum electrolyte and clinical treatment effect were compared between the two groups.Result:The abdominal circumference of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).The 24 h urine volume of the observation group was more than that of the control group,and the difference was statistically significant(P<0.05).The plasma albumin of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The K+of the observation group was higher than that of the control group,but the difference was not statistically significant(P>0.05).The Na^+ and Cl^- of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Shizao Decoction+Danggui Buxue Decoction for patients with refractory ascites due to liver cirrhosis can significantly reduce the abdominal circumference,increase urine volume,improve plasma albumin level,and correct electrolyte disorder,which has a high clinical application value and is worthy of extensive promotion and application.