中西医结合治疗肝性胸水38例临床疗效分析  

Analysis of Clinical Curative Effect on 38 Cases of Hepatic Hydrothorax Treated with Integrated Traditional Chinese and Western Medicine

作　　者：印晓飞[1] YIN Xiao-fei(Department of Infectious Diseases,Sheyang County Hospital of Traditional Chinese Medicine,Yancheng,Jiangsu Province,224300 China)

机构地区：[1]射阳县中医院感染科,江苏盐城224300

出　　处：《中外医疗》2020年第25期47-49,共3页China & Foreign Medical Treatment

摘　　要：目的分析中西医结合治疗肝性胸水的临床疗效。方法方便选取2015年9月—2019年11月该院收治的38例肝性胸水患者,采取随机数字表法,将38例患者均分为对照组和观察组,每组19例,对照组患者接受西医常规治疗,观察组患者在西医治疗基础上增加中医治疗,观察两组患者的临床效果、肝功能指标以及并发症情况。结果治疗后,两组患者的AST、ALT指标差异无统计学意义(t=0.301、1.000,P=0.765、0.324>0.05),观察组患者的ALB指标明显高于对照组患者,差异有统计学意义(t=2.050,P=0.047 <0.05);观察组患者的总有效率为94.74%,对照组患者的总有效率为68.42%,差异有统计学意义(χ^2=4.328,P<0.001);观察组患者的并发症发生率为26.32%,对照组患者的并发症发生率为47.37%,差异有统计学意义(χ^2=4.521,P=<0.05)。结论对肝性胸水采取中西医结合治疗,可有效改善患者临床症状,临床效果显著,安全性更高。Objective To analyze the clinical efficacy of integrated Chinese and Western medicine in the treatment of hepatic pleural effusion. Methods Convenient seclect 38 patients with hepatic pleural effusion admitted to the hospital from September 2015 to November 2019. The random number table method was used to divide 38 patients into control group and observation group, each with 19 cases. Patients in the control group received conventional western medicine treatment, and patients in the observation group were treated with traditional Chinese medicine on the basis of Western medicine. The clinical effects, liver function indicators and complications of the two groups were observed. Results After treatment, the difference of the AST and ALT indexes between the two groups was not significantly significant(t =0.301,1.000, P =0.765,0.324 >0.05). The ALB indexes of the observation group were significantly higher than those of the control group, and the difference was statistically significant(t=2.050, P=0.047 <0.05);the total effective rate of patients in the observation group was 94.74%, and the total effective rate of patients in the control group was 68.42%, the difference was statistically significant(χ^2=4.328, P<0.001);The incidence of symptoms was 26.32%, and the incidence of complications in the control group was 47.37%, the difference was statistically significant(χ^2=4.521, P <0.05). Conclusion The treatment of hepatic pleural effusion with integrated traditional Chinese and western medicine can effectively improve the clinical symptoms of patients with significant clinical effects and higher safety.

关 键 词：中西医结合 肝性胸水 肝功能 疗效 

分 类 号：R4[医药卫生—临床医学]