腹水浓缩回输治疗肝硬化顽固性腹水的研究

目的评价腹水浓缩回输治疗肝硬化所致顽固性腹水的疗效。方法选择肝硬化所致顽固性腹水患者50例，随机分为两组：观察组28例，进行腹水浓缩回输治疗；对照组22例，采用大量放腹水加输注白蛋白治疗。结果两组患者的腹水量均明显减少，疗效相同，差异无统计学意义（P〉0．05）；观察组腹腔穿刺次数少于对照组，腹水停止复发所需治疗时间短于对照组，差异有统计学意义（P〈0．05）。结论腹水浓缩回输是治疗肝硬化所致顽固性腹水的一种有效措施，短期治疗效果优于大量放腹水加输注白蛋白，患者痛苦小，花费少，两种方法长期疗效相同。

A study on concentrated ascites reinfusion in the treatment of refractory cirrhotic ascites

Objective To evaluate the curative efficacy of concentrated ascites reinfusion in the treatment of refractory cirrhotic ascites. Methods Fifty patients with cirrhosis and refractory ascites were randomly divided into two groups.28 patients in observation group were treated with ascitic concentration and reinfusion device. 22 patients in control group were treated with abdominol paracentesis apocenosis and infusion albumin. Results After treatment, the ascites of patients in two groups obviously decreased. The curative effect of two groups was similar. There was no statistically significant difference（P〉0.05）; The frequency of abdominal paracentesis in observation group were less than that in control group,the time of ascites stop recurrence in observation group were shorter than that in control group,the difference was statistically significant （P〈0.05）. Conclusion The concentrated ascites reinfusion is a effectly curat in the treatment of refractory cirrhotic ascites. The recent curative effect is better than abdominol paracentesis apocenosis and infusion albumin. The suffering and spending of patients is small. The extended curative effect of two methods is similar.