摘要
目的:观察猪苓汤合防己黄芪汤加味治疗肝硬变腹水的临床疗效。方法:将2012年7月—2014年7月就诊于本院的临床辨证为脾肾阴虚水停证肝硬变腹水患者86例随机分为对照组和治疗组各43例。对照组给予利尿、补充白蛋白、保肝、改善微循环、维持水电解质和酸碱平衡等常规治疗,并给予常规护理,治疗组则在对照组常规治疗和护理的基础上给予猪苓汤合防己黄芪汤治疗,并给予中医多途径综合护理,连续治疗4周。观察两组患者治疗前后相关指标的变化。结果:两组患者治疗后临床症状改善,证候积分下降,肝功能相关指标改善,以治疗组患者改善更突出,组间比较有显著差异性(P<0.05);治疗组有效率88.3%,明显高于对照组的67.4%,组间比较有显著差异性(P<0.05)。结论:猪苓汤合防己黄芪汤加味联合多途径护理干预能有效改善肝硬变腹水患者的临床症状,疗效显著。
Objective： To observe the clinical effects of Zhuling Decoction combined with Fangji Huangqi Decoction on cirrhotic as- cites. Methods： 86 cases with cirrhotic ascites received by this hospital from July of 2012 to July of 2014 and differentiated as wa- ter retention syndrome due to yin deficiency of the spleen and kidney were randomized into control group and treatment group, with 43 cases in each group. Control group were given routine treatment of diuresis, albumin supplement, liver protection, micro- circulation improvement, water-electrolyte maintainence, acid-base balancing as well as routine nursing, while treatment group were added with Zhuling Decoction combined with Fangji Huangqi Decoction and given multiple comprehensive nursing of TCM. After 4 weeks of continuous treatment, the changes of relevant indexes of both groups were observed. Results ： The clinical symp- toms in both groups got improved, symptom scores declined, relevant indexes of liver function enhance, and the improvement in treatment group was much more remarkable ; there was significant difference between the two groups （ P 〈 0. 05 ）. The effective rate of treatment group was 88. 3%, obviously higher than that of control group （67.4%） ; there was significant difference be- tween the two groups （ P 〈 0. 05 ）. Conclusion ： Zhuling Decoction combined with Fangji Huangqi Decoction together with multiple nursing intervention can improve the clinical symptoms of cirrhotic ascites, which is remarkably effective.
出处
《河南中医》
2015年第11期2664-2666,共3页
Henan Traditional Chinese Medicine
关键词
肝硬变腹水
猪苓汤
防己黄芪汤
cirrhotic ascites
Zhuling Decoction
Fangji Huangqi Decoction
作者简介
吴晓娟（1979-），女，江苏灌南人，主管护师。
