中药汤剂保留灌肠联合腹水超滤回输治疗肝硬化腹水疗效观察.docVIP

中药汤剂保留灌肠联合腹水超滤回输治疗肝硬化腹水的疗效观察 　　【摘要】目的 观察自拟中药汤剂保留灌肠联合腹水超滤回输治疗肝硬化难治性腹水的疗效及安全性。方法 选择2013年～2014年我院收治肝硬化难治性腹水患者133例，在内科治疗基础上增加中药保留灌肠、腹水超滤回输，分别于治疗前后观察患者临床症状、体重、腹围、24 h尿量、血清尿素和肌酐、血清电解质、血清蛋白、尿钠等指标的变化。结果 治疗后临床症状明显改善，体重减轻，腹围缩小，尿量增加，尿钠和血清蛋白增高差异有统计学意义（P0.05）。133例患者中，显效78例，有效47例，总有效率87.15%。结论 自拟中药汤剂保留灌肠联合腹水超滤回输腹腔治疗肝硬化难治性腹水明显优于单纯用药及腹水超滤回输。 　　【关键词】腹水超滤回输；肝硬化腹水；中药保留灌肠 　　【中图分类号】R575.2 【文献标识码】A 【文章编号】ISSN.2095-6681.2015.01.00.03 　　Traditional Chinese medicine decoction retention enema combined with ascites were observed to lose efficacy in treating ascites due to liver cirrhosis 　　CHEN Guo-liang1， CHEN Min1， YIN Yu-mei1， ZHAO Lu-ming2， WU Ya-tao2，LV Jun-wei3 　　（1.Xinjiang Changji peoples Hospital， Xinjiang Changji 831100，China； 　　2.Shanxi province Changzhi City Hospital of traditional Chinese medicine anorectal Branch， 　　Shanxi Changzhi 046000，China； 　　3.Department of Dermatology， the 3 Xinjiang Second Peoples Hospital of Changji City， 　　Xinjiang Changji 831100，China） 　　【Abstract】Objective To investigate the effect and safety of traditional Chinese medicine and Western medicine retention enema combined with ascites reinfusion treatment of liver cirrhosis with refractory ascites. Methods From 2013 to 2014 in our hospital 133 cases of liver cirrhosis with refractory ascites in patients treated in the Department of internal medicine， based on the increase of retention enema with traditional Chinese medicine， to observe the changes of ascites ultrafiltration reinfusion， patients with clinical symptoms， body weight， waist circumference， 24h urine volume， serum urea and creatinine， serum electrolyte， serum albumin， urinary sodium index on before and after the treatment respectively. Results The clinical symptoms improved significantly after treatment， body weight， abdomen circumference， urine volume increased， urinary sodium and serum protein （P0.05）. In 133 cases， 78 cases markedly effective， effective in 47 cases， the total efficiency of 87.15%. Conclusion The self-made tradi