针灸疗法联合中药汤剂辅助治疗肝硬化腹水临床研究

目的观察针灸疗法联合中药汤剂辅助治疗肝硬化腹水的临床效果。方法选取肝硬化腹水患者95例,根据随机数字表法分为观察组(48例)和对照组(47例)。对照组给予中药汤剂治疗,观察组在此基础上联合针灸疗法治疗。对比治疗后临床疗效,记录患者治疗前后谷丙转氨酶(ALT)、总胆红素(TBIL)、白蛋白(ALB)、临床症状积分、24 h尿量、腹围、体质量变化,比较治疗后患者满意率。结果观察组总有效率为93.8%,明显高于对照组的74.5%(P<0.05);两组患者治疗后ALT、TBIL均有降低(P<0.05),观察组明显低于对照组(P<0.05);两组患者治疗后ALB水平有提高(P<0.05),观察组明显高于对照组(P<0.05);两组患者治疗后临床症状积分均有降低(P<0.05),观察组明显低于对照组(P<0.05);两组患者治疗后24 h尿量均有提高(P<0.05),观察组明显高于对照组(P<0.05)。两组患者治疗后腹围、体质量均有降低(P<0.05),观察组明显低于对照组(P<0.05);治疗后观察组满意度为87.5%,明显高于对照组的68.1%(P<0.05)。结论给予肝硬化腹水患者针灸疗法联合中药汤剂治疗,可改善患者临床症状,改善患者肝脏功能,提高患者满意度。

Clinical Study of Acupuncture-moxibustion Therapy plus Chinese Medical Decoction as Assistant for Liver Cirrhosis Ascites

Objective To observe the clinical efficacy of acupuncture-moxibustion therapy plus Chinese medical decoction as assistant in treating liver cirrhosis ascites.Method Ninety-five patients with liver cirrhosis ascites were divided into an observation group(48 cases)and a control group(47 cases)by the random number table.The control group was given Chinese medical decoction,while the observation group was additionally given acupuncture-moxibustion therapy.The clinical effects were compared after treatment.The alanine transaminase(ALT),total bilirubin(TBIL),albumin(ALB),clinical symptom score,24-h urine volume,abdominal circumference,and body weight were recorded before and after treatment.The patient’s satisfaction rates after treatment were also compared.Result The total effective rate was 93.8%in the observation group,significantly higher than 74.5%in the control group(P<0.05);the levels of ALT and TBIL dropped after treatment in both groups(P<0.05),and the levels in the observation group were significantly lower than those in the control group(P<0.05);the ALB level increased after treatment in both groups(P<0.05),and the observation group was markedly higher than the control group(P<0.05);the clinical symptom score dropped after treatment in both groups(P<0.05),and the observation group was significantly lower than the control group(P<0.05);the 24-h urine volume increased after treatment in both groups(P<0.05),and the observation group was markedly higher than the control group(P<0.05).The abdominal circumference and body weight dropped after treatment in both groups(P<0.05),and the observation group was significantly lower than the control group(P<0.05);the satisfaction rate was 87.5%in the observation group after treatment,significantly higher than 68.08%in the control group(P<0.05).Conclusion Acupuncture-moxibustion therapy plus Chinese medical decoction can improve the relevant symptoms,liver function and patient’s satisfaction rate in the treatment of liver cirrhosis ascites.