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作 者:朱晓博 ZHU Xiao-bo(Department of Internal Medicine, Dezhou Second People's Hospital, Dezhou, Shandong Province, 253000 Chin)
机构地区:[1]德州市第二人民医院内科,山东德州253000
出 处:《世界复合医学》2017年第2期78-80,共3页World Journal of Complex Medicine
摘 要:目的探讨肝硬化失代偿期(DLC)合并腹水患者行腹腔引流的临床疗效。方法选取该院自2014年8月—2015年8月间收治的85例肝硬化失代偿期合并腹水患者作为研究对象,采用信封随机法分成两组,即对照组患者42例行腹穿抽液治疗,观察组43例采用腹腔引流治疗,对比治疗前后两组患者肝肾功能指标(BUN、Cr、肾脏1d内尿量、ALT、AST)变化和治疗总有效率。结果行腹腔引流的观察组患者治疗后肝功能指标ALT为(36.6±11.7)U/L,对照组为(48.5±12.4)U/L;肾功能指标BUN观察组治疗后为(11.7±4.6)mmol/L,对照组为(15.0±4.4)mmol/L,两组数据对比差异有统计学意义(P<0.05);观察组治疗总有效率为93.02%,对照组为73.81%(P<0.05)。结论在肝硬化失代偿期合并腹水患者行腹腔引流治疗能够明显改善患者的肝脏、肾脏功能,提高治疗的有效性,因此值得推广。Objective To study the clinical curative effect of abdominal abscess in patients with decompensated liver cirrhosis and as- cites. Methods 85 cases of patients with decompensated liver cirrhosis and ascites admitted and treated in our hospital from August 2014 to August 2015 were selected and randomly divided into two groups, the control group with 42 cases were treated with abdomi- nal -puncture pumping liquid, the observation group with 43 cases were treated with abdominal abscess, and the liver and kidney function indexes such as BUN, Cr, kidney urine volume in 1 d, ALT and AST changes and total treatment effective rate were com- pared before and after treatment. Results The liver function index after treatment was (36.6±11.7)U/L in the observation group and (48.5±12.4)U/L in the control group, after treatment, the difference in the BUN between the observation group and the control group was statistically significant[( 11.7±4.6)mmol/L vs (15.0±4.4)mmol/L](P〈0.05), and the total treatment effective rate in the observation group and in the control group was respectively 93.02% and 73.81%(P〈0.05). Conclusion The abdominal abscess in patients with de- compensated liver ciThosis and ascites can obviously improve the liver and renal functions and improve the treatment effectiveness, and it is worth promotion.
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