摘要
目的研究消胀散辨证敷脐治疗肝硬化腹水的临床疗效。方法选择肝硬化腹水住院患者62例,其中实证31例,分为实证对照组10例、实证实验组21例;虚证31例,分为虚证对照组11例、虚证实验组20例。由黄芪、附子和麝香等组成虚胀方,由大黄、莱菔子和麝香等组成实胀方,制成巴布剂。对照组采用一般治疗,实证与虚证实验组在此基础上分别以消胀散之实胀方或虚胀方巴布剂敷脐。观察两组患者临床症状、体重、腹围、尿量与腹水情况。结果与相应对照组比较,实验组体重减轻,腹围缩小,腹水减少,而且尿量与排气明显增加;且实证敷脐实验组疗效较好。实验组出现不良反应有皮肤红疹水疱,胶布过敏,经处理后症状消失。结论消胀散敷脐用于肝硬化腹水患者,效果好且不良反应少,操作简单,患者依从性好,卫生经济效价比高。
Objective To observe the effect of Xiaozhang San applied to umbilical area in treating ascites of liver cirrhosis. Methods Sixty-two inpafients with liver cirrhosis were chosen. Thirty one＂excess-type＂ cases were randomly divided into control group （n = 10） and test group （n = 21）;31 ＂deficiency-type＂ cases including control group （ n = 11 ） and test group （ n = 20）. The prescription for ＂deficiency,type＂ distension composed of Radix Astragali seu Hedysari, Radix Aconiti Praeparata and Moschus,that for ＂excess-type＂ distension composed of Radix et Rhizoma Rhei, Semen Raphani and Moschus were made into ＂Ba Bu＂ preparations. Control groups received the usual treatment with diuretic. The two test groups were treated with the respective ＂Ba Bu＂preparation. Patients were closely observed for symptoms, body weight, abdominal cireumference, urinary output and amount of ascitcs by ultrasonic examination to determine therapeutic effects. Results Compared with control groups, test groups of both types showed weight reduction, decrease of abdominal circumference, improvement of ascitcs and marked increase of urinary output and increased flatus. The effect in ＂excess-type＂ was even better. In both test groups, side-effects included slight local skin blisters and adhesive allergy. Conclusion Differential use of Xiaozhang San in patients with cirrhotic ascites can obviously reduce ascites. This therapy is easily applicable with high hygienic economy efficacy ratio.
出处
《上海护理》
2006年第6期3-6,共4页
Shanghai Nursing
基金
上海中医药大学科研基金资助项目(30H105)
关键词
肝硬化
腹水
消胀散
敷脐
Liver cirrhosis
Ascites
Xiaozhang San
Application on umbilical region
作者简介
张雅丽（1956-），女。主任护师，本科，主要从事中医肝病护理研究工作。
