艾灸床治疗肝硬化脾功能亢进患者的随访观察  

Long-term efficacy of governor meridian moxibustion for hypersplenism in cirrhosis

作　　者：范井月[1] 曹敏玲[1] 池晓玲[1] 蒋俊民[1] 施梅姐[1] 邓燕妹[1] 彭佩[1] FAN Jing-yue;CAO Min-ling;C HI Xiao-ling(Guangdong hospital of TCM（Guangzhou Guangdong,510120）China)

机构地区：[1]广东省中医院肝病科,广东广州510120

出　　处：《中西医结合肝病杂志》2018年第5期278-279,282,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:评价艾灸床治疗肝硬化脾功能亢进患者的疗效。方法:对2016年3月至2017年3月43例肝硬化脾功能亢进住院患者进行分组,治疗组患者23例经艾灸床治疗,对照组患者20例经升血细胞药物治疗。对两组患者进行后期随访,随访指标主要为外周血白细胞、中性粒细胞、红细胞、血小板计数及血红蛋白,对比分析停药后的后期效果。结果:对照组患者治疗3天白细胞上升至超出基线范围,治疗前后分别对比白细胞、中性粒细胞、血小板计数,差异均有统计学意义(P <0. 05)。治疗2周及以后,对照组患者白细胞、中性粒细胞、血小板下降,治疗组患者白细胞、血小板仍可稳定在高于基线水平,两组比较,差异有统计学意义(P <0. 05)。对照组患者在停药2周后三系细胞普遍恢复至基线水平,甚至个别较治疗前下降。治疗组患者在治疗后2周三系细胞较治疗前升高,治疗前后对比,差异有统计学意义(P <0. 05)。结论:艾灸床用于肝硬化脾功能亢进患者的辅助治疗,能使三系细胞稳步上升并长期稳定在高于基线范围,具有良好的治疗作用,值得临床推广应用。Objective：To evaluate the long-term efficacy of governor meridian moxibustion for hypersplenism in cirrhosis. Methods： From March 2016 to March 2017, hospitalized patients with liver cirrhosis and hypersplenism patients were categorized, 23 cases were treated by governor meridian moxibustion treatment, follow-up indicators for WBC, neutrophils, red blood cell, hemoglobin and platelet. Twenty cases in the control group after drug treatment were analyzed, the late effects were observed after drug withdrawal. Result：Three days after treat- ment, WBC was increased to the normal range in the control group, and was higher than the treatment group with statistically significant difference （ P 〈 0.05 ）. Before and after treatment, WBC, NEUT, PLT levels of the treatment group were increased with statistically significant difference （P 〈 0.05）. Two weeks after treatment, WBC, NEUT, PLT in control group was decreased, while WBC, NEUT, RBC, HGB and PLT in the treatment group were still in the normal range. And the difference were statistically significant （ P 〈 0.05 ）. Compared with the control group, WBC, NEUT, PLT levels were higher in the treatment group with statistically significant difference （ P 〈 0.05 ）. Two weeks after rug withdrawal in the control groups, the white blood cells, neutrophils, red blood cell count, hemoglobin count, platelet count returned to baseline, or even decreased. In the treatment group,2 weeks after treatment, all cells were elevated after treatment, with statistically significant difference （ P 〈 0.05 ）. Conclusion： Governor meridian moxibustion can be used as an adjuvant therapy for patients with hypersplenism in cirrhosis. It can adjust granulocyte colony-stimulating factor in increasing white blood cells, increase white blood cells and keep the longterm stability steadily in the normal range, and has a good therapeutic effect in leukopenia and mild thrombocytopenia. It is worthy of further clinical application.

关 键 词：脾功能亢进 肝硬化 艾灸床 

分 类 号：R259[医药卫生—中西医结合]