中药逐水膏穴位贴敷治疗肝硬化并顽固性腹水、胸水82例疗效观察

目的：观察中药逐水膏穴位贴敷治疗肝硬化并顽固性腹水、胸水的临床疗效。方法：将83例肝硬化并顽固性腹水患者（其中22例合并有胸水）随机分为两组，治疗组42例（其中合并胸水12例），对照组41例（其中合并胸水10例）。对照组给予中药双味泽苓汤口服，同时配合西医常规疗法，治疗组在对照组基础上加用中药逐水膏穴位贴敷。两组均以30d为1疗程。结果：治疗组临床治愈加例，显效12例，好转7例，无效3例，总有效率92．86％；对照组临床治愈11例，显效10例，好转12例，无效8例，总有效率80．49％；经Ridit分析，两组疗效比较差异有显著性意义（P〈0．05），治疗组疗效优于对照组。结论：中药逐水膏穴位贴敷治疗肝硬化并顽固性腹水、胸水临床疗效显著，未见明显不良反应。

Clinical Curative Effect of Anointed by Chinese Medicine Chushui Gao Point in Treating Water Cirrhosis with Resistant Stubborn Ascites and Chest Water

Objective ： To observe the clinical curative effect of anointed by Chinese medicine chushui gao point in treating water cirrhosis. Methods： 83 patients with liver cirrhosis and stubborn aseites （in 22 patients with pleural effusion） were randomly divided into two groups： 42 patients in treatment group （12 cases pleural effusion）, 41 cases in the control group （including 10 cases of pleural effusion ）. The control group were griven double flavour zeling tang conventional therapy, the treatment group on the basis of the above in water by chushui gao point . Both groups in treatment for 1 month. Results： Treatment group 20 cases got cure, 12markedly effective, 7 cases effective, 3 cases failed, the total effective rate was 92.86% , in the control group 11 cases was in clinical cured, 10 cases markedly effective, 12 cases effective ,8 had no effect, the total effective rate was 80.49% , The Ridit analysis, the result was significant difference （ P 〈 0.05 ）, the treatment group than in control group. Conclusion ： The traditional acupoints applied by water treatment of liver cirrhosis cream and stubborn ascites, hydrothorax has clinical curative effect, without obvious adverse reactions.