桃核承气汤联合呋塞米治疗肝硬化顽固性腹水对患者TBIL水平的影响  

Effects of peach pit decoction combined with furosemide in the treatment of refractory ascites in the treatment of liver cirrhosis on TBIL levels

作　　者：邝敏[1] 张迅 KUANG Min;ZHANG Xun(Armed Police Sichuan Corps Hospital,Chengdu,Sichuan 610000,China)

机构地区：[1]武警四川总队医院,四川成都610000

出　　处：《中国国境卫生检疫杂志》2022年第S01期166-168,共3页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的探讨桃核承气汤联合呋塞米治疗肝硬化顽固性腹水对患者总胆红素(TBIL)水平的影响。方法2019年8月至2020年8月期间本院收治的106例肝硬化顽固性腹水患者,采用双盲法分组:对照组53例,实施呋塞米治疗,研究组53例,实施桃核承气汤联合呋塞米治疗,比较肝功能指标、腹围、24h尿量、中医证候积分。结果研究组治疗后的TBIL、Cr、ALT、AST水平和DPV、PVF、VPV、中医证候积分均低于对照组,而ALB水平高于对照组(P<0.05)。研究组的腹围小于对照组,24h尿量多于对照组(均P<0.05)。结论采用桃核承气汤联合呋塞米治疗肝硬化顽固性腹水患者,可以快速改善患者症状,改善其门静脉血流动力学,提升其肝功能。Objective To explore the effect of Taohe Chengqi Decoction combined with furosemide on the level of total bilirubin(TBIL)in patients with refractory ascites due to cirrhosis.Methods From August 2019 to August 2020,106 patients with cirrhosis and refractory ascites admitted to our hospital were divided into control group(53 cases,treated with furosemide)and study group(53 cases,treated with Taohe Chengqi Decoction and furosemide)by double-blind method.Compare the treatment effect.Results TBIL,Cr,ALT,AST,DPV,PVF,VPV and TCM syndrome scores in the study group were lower than those in the control group,and ALB was higher than those in the control group(P<0.05).The abdominal circumference of the study group was smaller than that of the control group,and the 24-hour urine volume was more than that of the control group(P<0.05).Conclusion Taohe Chengqi Decoction combined with furosemide can rapidly improve the clinical symptoms and liver function of patients with refractory ascites due to cirrhosis.

关 键 词：桃核承气汤 呋塞米 肝硬化 肝功能 

分 类 号：R183[医药卫生—流行病学]