护理干预配合自拟理气化瘀汤对酒精性肝硬化腹水气滞血瘀证的临床观察

目的:观察护理干预配合自拟理气化瘀汤对酒精性肝硬化腹水气滞血瘀证患者的临床疗效。方法:选取我院住院治疗的60例气滞血瘀型酒精性肝硬化伴腹水的患者,30例给予常规的西医治疗为对照组;30例在对照组治疗基础上给予理气化瘀汤及护理干预为观察组。干预后比较两组治疗前后的体重、晨起空腹腹围、腹腔积液、白蛋白用量、住院天数、腹腔穿刺次数、气滞血瘀证症候等一般临床指标以及血清ET-1和VEGF含量水平及肝功能、凝血功能等实验室指标。结果:①干预后体重、晨起空腹腹围、腹腔积液较干预前比较均下降P<0.05;组间比较观察组明显优于对照组P<0.05;②干预后患者血清ET-1、VEGF含量水平及肝功能、凝血功能与干预前比较均不同程度改善;且组间比较观察组明显优于对照组P<0.05;③干预后观察组患者白蛋白用量、住院天数、腹腔穿刺数实验组均小于对照组P<0.05;④干预后观察组气滞血瘀症候改善情况疗效优于对照组P<0.05。结论:护理干预配合自拟理气化瘀汤优势在于可以降低酒精性肝硬化腹水气滞血瘀证患者体重、晨起空腹腹围、腹腔积液;降低血清ET-1、VEGF含量水平及改善肝功能、凝血功能;同时减少白蛋白用量、住院天数、腹腔穿刺数以及改善气滞血瘀证症候和腹部胀满,胁肋疼痛及纳呆情况,表明护理干预配合理气化瘀汤及西医治疗可以为改善酒精性肝硬化伴腹水气滞血瘀证患者病情提供帮助。

Clinical Observation of Nursing Intervention Combined with Liqi Huayu Decoction for Patients with Alcoholic Cirrhosis Ascites of Qi Stagnation and Blood Stasis Syndrome

Objective: To observe the clinical effect of nursing intervention combined with Liqi Huayu Decoction for the patients with alcoholic cirrhosis ascites of Qi stagnation and blood stasis syndrome. Methods: 60 cases of alcoholic cirrhosis ascites patients with Qi stagnation and blood stasis in our hospital were selected,30 cases were treated with conventional western medicine as controlled group,on the basis of the treatment in the controlled group,30 cases were given the Liqi Huayu Decoction and nursing intervention in the observation group. The intervention before and after treatment between the two groups of body weight,abdominal circumference,fasting ascites,albumin dosage,duration of hospitalization,abdominal puncture times,Qi stagnation and blood stasis syndrome and other clinical indexes and serum ET-1 and VEGF levels and liver function,blood coagulation function,laboratory index. Results: 1. After the intervention,body weight,waist circumference,fasting ascites were significantly lower than those before intervention P<0.05,comparison between groups of the observation group was significantly better than the controlled group P<0.05. 2. After intervention,the levels of serum ET-1 and VEGF,liver function and coagulation function were improved compared with those before intervention,and the comparison between the two groups was significantly better than that of the controlled group P<0.05. 3. The amount of albumin,the days of hospitalization and the number of abdominal puncture in the experimental group were less than that of the controlled group,P<0.05. 4. The curative effect of Qi stagnation and blood stasis syndrome in the observation group was better than that of the controlled group P<0.05. Conclusion: Nursing intervention combined with Liqi Huayu Decoction is that it can reduce body weight and morning alcoholic liver cirrhosis ascites syndrome of Qi stagnation and blood stasis patients fasting abdominal circumference,abdominal effusion,reduce serum ET-1 and VEGF levels and improve liver function and coagulation function. While reducing albumin dosage,duration of hospitalization,abdominal puncture and improve the syndrome of Qi stagnation and blood stasis syndrome and abdomen fullness,hypochondriac pain and anorexia. The results has showed that nursing intervention combined with Liqi Huayu Decoction and esWtern medicine can help to improve the condition of alcoholic cirrhosis with Qi stagnation and blood stasis syndrome.