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作 者:于希 YU Xi(Department of Gastroenterology,Shenyang Sixth People’s Hospital,Liaoning Province,Shenyang 110006,China)
机构地区:[1]沈阳市第六人民医院消化内科,辽宁沈阳110006
出 处:《中国中医药现代远程教育》2022年第7期96-97,共2页Chinese Medicine Modern Distance Education of China
摘 要:目的 探究健脾利水方治疗肝硬化顽固性腹水的效果及对肝肾功能的影响。方法 择取2019年10月-2020年9月沈阳市第六人民医院接收的肝硬化顽固性腹水患者66例,按随机数字表法分为对照组和试验组,各33例。对照组行常规西药治疗,试验组在对照组基础上行健脾利水方治疗。观察对比2组治疗前后肝肾功能改善情况以及总体疗效。结果 2组患者治疗前BUN、Cr、ALT和SB等肝肾功能指标差异无统计学意义(P>0.05),经治疗后试验组BUN、Cr、ALT和SB等肝肾功能指标均低于对照组;试验组总有效率78.79%(26/33)显著高于对照组的57.58%(19/33),差异有统计学意义(P<0.05)。结论 在肝硬化顽固性腹水的治疗中予以健脾利水方效果确切,更有利于改善患者肝肾功能,提升总体疗效,值得临床大量推广应用。Objective To explore the effect of invigorating spleen for diuresis recipe in the treatment of refractory ascites due to cirrhosis and its influence on liver and kidney function.Methods 66 patients with refractory ascites due to cirrhosis received from October2019 to September 2020 in Shenyang Sixth People’s Hospital were randomly divided into control group(33 cases) and experimental group(33 cases).The control group was treated with conventional western medicine,and the experimental group was treated with invigorating spleen for diuresis recipe.The improvement of liver and kidney function before and after treatment and the overall efficacy were observed and compared between the two groups.Results There was no significant difference in liver and kidney function indexes such as bun,Cr,ALT and Sb between the two groups before treatment(P>0.05).After treatment,the liver and kidney function indexes such as bun,Cr,ALT and Sb in the experimental group were lower than those in the reference group;the overall curative effect was 78.79%(26/33),which was significantly higher than 57.58%(19/33) of the control group,and there had significant differences between the two groups(P<0.05).Conclusion In the treatment of refractory ascites due to liver cirrhosis,invigorating spleen for diuresis recipe has a definite effect,which is more conducive to improve the liver and kidney function of patients and enhance the overall curative effect,which is worthy of extensive clinical application.
关 键 词:臌胀 肝硬化 顽固性腹水 健脾利水方 肝肾功能 中医综合疗法
分 类 号:R259[医药卫生—中西医结合]
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