加味五黄五苓汤联合常规西药治疗肝硬化伴腹水的效果探讨  

The effect of wuhuangwuling decoction combined with traditional western medicine in treating cirrhosis with ascites

作　　者：付刚 Fu gang(shifang zhilan hospital of traditional Chinese medicine, shifang Sichuan 618400)

机构地区：[1]什邡芝兰中医医院

出　　处：《当代医药论丛》2019年第11期215-216,共2页

摘　　要：目的:研究用加味五黄五苓汤联合常规西药治疗肝硬化伴腹水的临床效果。方法:选择2016年2月至2018年5月期间什邡芝兰中医医院收治的88例肝硬化伴腹水患者作为研究对象。按照治疗方法的不同,将这些患者分为对照组(n=44)与观察组(n=44)。用常规西药对对照组患者进行治疗,用加味五黄五苓汤联合常规西药对观察组患者进行治疗,然后比较两组患者的临床疗效、凝血酶原时间(PT)及其血清白蛋白(ALB)、谷丙转氨酶(ALT)和总胆红素(TBIL)的水平。结果:观察组患者治疗的总有效率高于对照组患者,P<0.05。治疗后,观察组患者的PT短于对照组患者,其血清ALB的水平高于对照组患者,其血清ALT与TBIL的水平均低于对照组患者,P <0.05。结论:用加味五黄五苓汤联合常规西药治疗肝硬化伴腹水的效果显著,可有效地减轻患者的临床症状,改善其ALB、ALT、TBIL等指标的水平。objective: to study the clinical effect of modified wuhuang wuling decoction combined with conventional western medicine in the treatment of cirrhosis with ascites. Methods: 88 patients with cirrhosis and ascites admitted to shifang zhilan hospital of traditional Chinese medicine between February 2016 and May 2018 were selected as study subjects. According to different treatment methods, these patients were divided into control group(n=44) and observation group(n=44). Patients in the control group were treated with conventional western medicine, and patients in the observation group were treated with modified wuhuang wuling decoction combined with conventional western medicine, and then the clinical efficacy, prothrombin time(PT) and serum albumin(ALB), alanine aminotransferase(ALT) and total bilirubin(TBIL) levels of the two groups were compared. Results: the total effective rate of observation group was higher than control group, P < 0.05. After treatment, the PT of the observation group was shorter than that of the control group, the serum ALB level was higher than that of the control group, and the serum ALT and TBIL levels were lower than those of the control group, P < 0.05. Conclusion: modified wuhuang wuling decoction combined with conventional western medicine has a significant effect on the treatment of cirrhosis with ascites, which can effectively reduce the clinical symptoms of patients and improve the levels of ALB, ALT, TBIL and other indicators.

关 键 词：加味五黄五苓汤 常规西药 肝硬化伴腹水 

分 类 号：R575.2[医药卫生—消化系统]