健脾化痰凉血活血利水方治疗乙型肝炎肝硬化腹水临床疗效的探讨.docVIP

健脾化痰凉血活血利水方治疗乙型肝炎肝硬化腹水临床疗效的探讨 　　[摘要] 目的 探讨健脾化痰凉血活血利水方治疗乙型肝炎肝硬化腹水临床疗效。方法 乙型肝炎肝硬化腹水患者100例，随机分为观察组、中药组各50例。观察组常规予西药治疗，中药组选用中药+常规西药治疗，两组疗程均为28 d。分别观察二组患者症状改善情况，肝功能变化，判断临床疗效。结果 中药组在改善肝功能、症状改善明显优于观察组，差异有统计学意义（P0.05），且无不良反应。结论 健脾化痰凉血活血利水方治疗乙型肝炎肝硬化腹水疗效显著，安全可靠。 　　[关键词] 乙型肝炎肝硬化腹水；健脾化痰凉血活血利水方；临床疗效 　　[中图分类号] R259.7 [文献标识码] A [文章编号] 1674-0742（2015）05（a）-0166-02 　　Jianpi Huatan Liangxue Huoxue Decoction in Treatment of Hepatitis B Cirrhosis Ascites Clinical Curative Effect Observation 　　JIANG Yan 　　The First Hospital of Heilongjiang Qiqihar，Qiqihar，Heilongjiang Province，161000 China 　　[Abstract] Objective To observe the clinical curative effect of Jianpi Huatan ascites Liangxue Huoxue Decoction in treatment of hepatitis B cirrhosis. Methods 100 cases of patients with hepatitis B liver cirrhosis ascites， were randomly divided into the observation group， Chinese medicine group with 50 cases in each group. The observation group treated with western medicine treatment， traditional Chinese medicine group selection of Chinese medicine + conventional western medicine treatment， two groups were treated for 28 days. The two groups were observed in patients with symptoms to improve the situation， the change of liver function， and evaluate the clinical effect. Results The Chinese medicine group in improving liver function， symptoms improved significantly better than the observation group， there was significant difference （P0.05）， and no adverse reaction. Conclusion The curative effect of Jianpi Huatan Liangxue Huoxue Decoction in treatment of hepatitis B cirrhosis ascites significantly， safe and reliable. 　　[Key words] Hepatitis B liver cirrhosis with ascites； Jianpi Huatan Liangxue Huoxue Decoction； Clinical effect 　　肝硬化腹水属于中医“鼓胀”范畴，该病病机为气虚血瘀水停，湿浊贯穿始终，健脾化痰凉血活血利水符合肝硬化腹水正虚邪实基本病机。中医药治疗肝硬化腹水具有明显优势，该研究于2010年3月―2014年5月以健脾化痰凉血活血利水方治疗乙型肝炎肝硬化腹水患者50例，并与西药治疗观察组50例对照，观察疗效现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选择2010年3月―2014年5月在齐市第一医院中医科、消化内科治疗门诊及住院患者，按诊断标准收集100例患者，随机分为观察组50例、中药组50例。中药组男性22例，女性28