腹水浓缩回输治疗肝硬化顽固性腹水的临床研究  

Clinical study of ascites concentrated reinfusion in the treatment of patients with refractory ascites of cirrhosis

作　　者：杨毅 李佩波 Yang Yi;Li Peibo(The People's Hospital of Xiushan County,Chongqing City 409900)

机构地区：[1]重庆市秀山县人民医院,409900

出　　处：《中国社区医师》2017年第23期65-66,共2页Chinese Community Doctors

摘　　要：目的:探讨腹水浓缩回输治疗肝硬化顽固性腹水的临床效果。方法:收治肝硬化顽固性腹水患者90例,随机分两组。对照组采用多次治疗性腹穿放液法,研究组采用腹水浓缩回输治疗,比较两组患者治疗效果。结果:治疗后,两组患者体重、腹围和24 h尿量均较治疗前有所改善,差异具有统计学意义(P<0.05)。研究组患者治疗后ALB、Cr、GFR指标与治疗前相比,差异具有统计学意义(P<0.05)。研究组尿钠指标与治疗前相比,差异具有统计学意义(P<0.05)。对照组和研究组治疗总有效率分别为88.9%和95.6%,后者显著高于前者,差异有统计学意义(P<0.05)。结论:腹水浓缩回输治疗肝硬化顽固性腹水疗效显著,方法简便易行。Objective:To investigate the clinical effect of ascites concentration and reinfusion in the treatment of cirrhosis with refractory ascites.Methods:90patients with refractory ascites of cirrhosis were selected.They were randomly divided into the two groups.The control group was treated with repeated abdominal puncture and drainage.The study group was treated with ascites concentration and reinfusion.The therapeutic effects of the two groups were compared.Results:After treatment,the body weight,abdominal circumference and24h urine volume in the two groups improved,with statistically significant(P<0.05).The difference of ALB,Cr and GFR indexes in the study group were statistically significant compared with those before treatment(P<0.05).The difference of urinary sodium index of the study group was statistically significant compared with that before treatment(P<0.05).The total effective rates of the control group and the study group were88.9%and95.6%,respectively,and the latter was significantly higher than that of the former,with statistically significant difference(P<0.05).Conclusion:Ascites reinfusion is effective in the treatment of refractory ascites of cirrhosis,and the method is simple and convenient.

关 键 词：腹水 浓缩回输 肝硬化顽固性腹水 

分 类 号：R575.2[医药卫生—消化系统]