实胀方和虚胀方辨证敷脐对肝硬化腹水的作用.pdfVIP

2006 5 26 5 CJITWM, May 2006, Vol. 26, No.5 # 411 # 1 1 2 1 1 3 1 刘成海 张雅丽 冯年平 蔡俊萍 薛惠明 史美育 陈建杰 探讨中药实胀方与虚胀方巴 剂敷脐分别对肝硬化腹水实证与虚证患者的作用 选择肝硬化腹水住院患者77例,其中实证37例, 随机分为对照组11例试验组26例;虚证40例, 随机分为 对照组14例试验组26例在限制利尿剂使用的一般治疗基础上,试验组实证与虚证分别以实胀方或虚胀 方巴 剂敷脐, 对照组不用敷脐药物观察患者症状体重腹围与尿量, 治疗前后B 超检查腹水情况, 分级 判断疗效并观察毒副反应 实际完成病例 62 例, 脱落15 例与相应对照组比较,试验组体重减 轻,腹围缩小,腹水减少,而且尿量与排气明显增加(P 0. 05) 试验组的综合疗效明显优于对照组(P 005),其中虚证对照与试验组的/ 级有效率分别为7. 1%57. 2%, 实证对照与试验组分别为91% 692%,以实证敷脐试验组疗效稍好 中药实胀方与虚胀方巴 剂敷脐分别对肝硬化腹水实证与虚 证患者有良好的辅助治疗作用 实胀方; 虚胀方;肝硬化;腹水; 巴 剂 Effects of SyndromeDependentUmbilical Sticking withShizhang Cataplasm andXuzhang Cataplasmin Treat ing Liver Cirrhosis Caused scites LIU Chenghai, ZHANG Yali, FENG Nianping, et al Shug uang H osp i tal , Shanghai Univ ersity of Traditional Chinese Medicine, Shanghai (201203 bstract Objective To investigatethe effects of Shizhang Cataplasm (SC) andXuzhang Cataplasm (XC) in treating liver cirrhosis caused ascites of excessive syndrome (ES) type and deficient syndrome ( DS) type re spectively. Methods All the 77 patients (37 of ES type and 40 of DS type) enrolled were treated by conven tional treatment but with restrictive use of diuretics. SC and XC were given respectively to 26 patients of ES type and 26 of DS type additionally by umbilical sticking, they were regarded as the treated group, and those ( 11of EStype and 14 of DS type) not receivedthe cataplasm treatment wereregarded asthecontrol group. The changes of symptoms, body weight, abdominal perimeter and amount of urine before and after treatment were observed, and amount of ascites was examined with Bultrasound to evaluate the efficacy according to compre hensivegrading criteria. Also, the toxicity was observed. Results Sixtytwo cases completed the full course, 15 werewithdrawn. A