中医辨证施治联合西药治疗肝硬变腹水对照观察

[目的]中医辨证施治联合西药治疗肝硬变腹水疗效。[方法]将我院收治的180例肝硬变腹水患者,分为治疗组和对照组,每组90例。对照组使用复方丹参注射液20mL,加入5%葡萄糖250mL;复方氨基酸250mL,一次静脉滴注。蛋白过低者适量补充人血白蛋白。腹水重者采用短程、联合、间歇、反复的利尿法。疗程间歇4~5d。治疗组在对照组治疗基础上采用中医辨证施治。均以1个月为1个疗程,治疗1个月判定疗效。[结果]治疗组总有效率93.30%,对照组总有效率72.20%,治疗组临床疗效优于对照组。[结论]中医辨证施治联合西药治疗肝硬变腹水能改善临床症状,是肝硬化治疗的较好方法。

Syndrome Differentiation of Traditional Chinese Medicine Combined with Western Medicine in Treatment of Cirrhosis Ascites Control Observation

[Objective] Of syndrome differentiation of traditional Chinese medicine combined with western medicine in treatment of cirrhosis ascites effect.[Methods] The hospital treated 180 cases of ascites due to cirrhosis patients,divided into treatment group and control group,90 cases in each group.The control group using compound salvia miltiorrhiza injection mixed with 5% glucose 20mL,250mL;compound amino acid 250mL,an intravenous drip.Protein excessively low supplement of human serum albumin.Ascites with shortcourse,intermittent,or joint,repeated diuresis method.Treatment interval from 4 to 5d.The treatment in the control group were treated by TCM syndrome differentiation based on.By 1 months for 1 courses of treatment,the curative effect of treatment of 1 months.[Results] The total effective rate of treatment group 93.30%,control group in the total efficiency of 72.20%,the treatment group were better than the control group.[Conclusion] Of syndrome differentiation of traditional Chinese medicine combined with western medicine in treatment of cirrhosis ascites can improve clinical symptoms,it is a good method for treatment of liver cirrhosis.