中西医结合治疗顽固性肝硬化腹水58例

Treating 58 Cases of Chronic and stubborn Liver Cirrhosis and Ascites with Integration of Traditional and Western Medicine

目的 :探讨肝硬化腹水 ,特别是顽固性腹水的治疗方法。方法 :治疗组用中西医结合方法 ,中药采用温阳利水、活血行气消胀之法 ,配合西医常规保肝、利尿及补充白蛋白等对症支持治疗。对照组采用西医治疗 ,间断大量放腹水 ,大剂量利尿及补充白蛋白、补钾 ,纠正电解质紊乱等。结果 :治疗组总有效率为 93.1 0 % ,对照组为 73.33% ,治疗组疗效明显优于对照组 ;治疗组在提高白蛋白方面优于对照组 P<0 .0 5 ,两组均有保护肝功能作用。结论 :中西医结合治疗顽固性肝硬化腹水能有效提高患者生活质量 ,提高临床疗效。

Objective: To study the therapy methods on liver cirrhosis and ascites,esp. on chronic and stubbom liver cirrhosis and ascites. Methods:The treatment group was treated by integration of traditional and western medicine,traditional therapy with the ways of Wenyanglishui and Huoxuexiaozhang,western therapy on its syndrome with usual protecting liver, diuresis, and complementing albumin. The control group was treated by western medicine,relieving the ascites in intermission, much diuresis, complementing albumin and K +, et al.Results: The total effective rate(93.10%) in treatment group was significantly better than that(73.33%) in control group, and increasing the level of albumin in treatment group was better than that in control group( P <0.05). Both group had the effect of protecting the function of liver. Conclusion:Treatment integrated traditional and western medicine on chronic and stubborn liver cirrhosis and ascites is a kind of effective way, which can effectively improve the life quality and clinical curative effect.