温阳利水汤联合奥曲肽治疗肝硬化顽固性腹水随机平行对照研究

目的]观察温阳利水汤联合奥曲肤治疗肝硬化顽固性腹水疗效。方法]使用随机平行对照方法，将75例住院患者按就诊顺序编号随机分为两组。对照组42例奥曲肽0．1mg／次，每8h于患者进行皮下注射。治疗组33例温阳利水汤（泽兰、白芍、生姜各10g，厚朴、制附子各15g，丹参、生黄芪、车前子、大腹皮、茯芩、生白术各30g）；1剂／d，水煎300mL，早晚服用。西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗3疗程，判定疗效。结果]治疗组显效20例，有效11例，无效2例，总有效率93．94％。对照组显效21例，有效16例，无效5例，总有效率88，10％。治疗组疗效优于对照组（P〈0．05）。结论]温阳利水汤联合奥曲肽治疗肝硬化顽固性腹水效果显著，值得推广。

Wenyang Lishui Tang Combined with Aoqutai in the Treatment of Intractable Ascites of Cirrhosis of Random Parallel Control

Objective ] Observed Wenyang Lishui Tang combined with Aoqutai in the treatment of intractable ascites of cirrhosis. Methods ] Using randomized controlled Methods, 75 cases of hospitalized patients according to the order number were randomly divided into two groups. A control group of 42 cases with 0.1mg/, each 8h in the patients with subcutaneous injection. The treatment group of 33 cases of Wenyang Lishui Tang （ Zelan, Baishao, Shengjiang each 10g, Houpu, Zhifuzi each 15g, Danshen, Shenghuangshi, Cheqianzi, Dafupi, Fuling, Shengbaoshu each 30g ） . 1 doses of/d, water simmer in water 400mL, morning and evening to take. Western medicine treatment with the control group. Continuous treatment with 7d for 1 courses. Observation of clinical symptoms, adverse reaction. Continuous 3 courses of treatment, the curative effect. 20 cases of treatment group improved significantly Results ] 11 cases improved, 2 cases ineffective, the total efficiency of 93.94%. The control group was significantly improved in 21 cases, 16 cases improved, 5 cases ineffective, the total efficiency of 88.10%. The treatment group was better than control group （ P〈0.05 ） . Conclusion ] Wenyang Lishui Tang combined with Aoqutai in the treatment of intractable ascites of cirrhosis effect is significant, worthy of promotion.