壮医药线点灸配合疏肝健脾方治疗肝硬化腹水临床的研究.docVIP

壮医药线点灸配合疏肝健脾方治疗肝硬化腹水临床的研究 　　摘要：目的 探讨壮医药线点灸配合疏肝健脾方治疗肝硬化腹水的临床疗效。方法 采用随机数字表法将60例肝郁气滞、脾胃失调型肝硬化腹水患者随机分为治疗组和对照组各30例。治疗组予壮医药线点灸配合疏肝健脾方+常规西药治疗，对照组仅予常规西药治疗，2周为1个疗程，1个疗程后观察2组患者肝功能指标[丙氨酸氨基转移酶（ALT）、天冬氨酸氨基转移酶（AST）、总胆红素（TBIL）、白蛋白（ALB）、白蛋白/球蛋白比值（A/G）]、B超腹水量积分变化及主要临床症状（腹胀、胁痛、纳差、乏力）改善时间，并随访3个月，评价2组临床疗效。结果 与治疗前比较，治疗组治疗后肝功能指标显著改善（ALT、AST、TBIL下降，ALB、A/G上升），腹水量积分减少，且均优于对照组，同组治疗前后及2组比较差异均有统计学意义（P0.05）；治疗组主要临床症状改善时间明显短于对照组（P0.05）；治疗组临床有效率为90.00%（27/30），对照组为76.67%（23/30），2组比较差异有统计学意义（P0.05）。结论 壮医药线点灸配合疏肝健脾方治疗肝硬化腹水临床疗效肯定。 　　关键词：壮医药线点灸；疏肝健脾方；肝硬化腹水 　　DOI：10.3969/j.issn.1005-5304.2016.09.010 　　中图分类号：R259.752 文献标识码：A 文章编号：1005-5304（2016）09-0041-04 　　Clinical Study on Medicated Thread Moxibustion of Traditional Zhuang Nationality Medicine Combined with Shugan Jianpi Decoction for Cirrhosis Ascites XIA Li-ming， LEI Zhen-xiao， JIANG Qin-yun， QIN Xia， CUI Juan， ZENG Fan-jiao （TCM Hospital of Laibin City， Laibin 546100， China） 　　Abstract： Objective To observe the therapeutic effects of medicated thread moxibustion of traditional Zhuang nationality medicine combined with Shugan Jianpi Decoction for cirrhosis ascites. Methods Sixty patients with cirrhosis ascites were randomly divided into observation group and control group by random number method， 30 cases in each group. The treatment group received medicated thread moxibustion of traditional Zhuang nationality medicine combined with Shugan Jianpi Decoction and regular Western medicine； while control group only received regular Western medicine. Two weeks was a course of treatment. The liver function （ALT， AST， TBIL， ALB， A/G）， ascites integral changes and improving time of main clinical symptoms （abdominal distension， pain， anorexia， fatigue） were observed. The clinical curative effects of two groups were evaluated with 3 months of follow-up. Results The liver function （ALT， AST， TBIL， ALB， A/G） in the treatment group after treatment was significantly improved， and the ascites integral decreased， which was better than the control group， with