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目的:观察己椒苈黄丸合五苓散联合腹腔灌注治疗胃癌腹水的临床疗效。方法:将45例患者随机分为2组,对照组22例常规抽放腹水后,腹腔注入白细胞介素-2及榄香烯注射液;治疗组23例在对照组治疗的基础上口服己椒苈黄丸合五苓散汤剂。观察2组腹水改善情况、生存期以及生活质量Karnofsky评分、症状积分的变化情况。结果:治疗组在腹水改善总有效率、生存期、生活质量Karnofsky评分、症状积分等方面均优于对照组,差异均有显著性意义(P<0.05)。结论:己椒苈黄丸合五苓散联合腹腔灌注治疗胃癌腹水疗效良好,能改善症状,延长生存期,提高生活质量。
Objective: To observe the clinical effect of Jiaojiaohuangwan combined with Wulingsan peritoneal perfusion in the treatment of gastric ascites. Methods: Forty-five patients were randomly divided into two groups. In the control group, 22 patients were routinely aspirated with interleukin-2 and elemene injection. In the treatment group, 23 patients were treated with the control group, Huang Huang Wan Wulian scattered decoction. The improvement of ascites, survival time, quality of life Karnofsky score and symptom score were observed in two groups. Results: The treatment group was better than the control group in improving the total effective rate of ascites, survival time, Karnofsky score of quality of life and symptom score, the difference was significant (P <0.05). Conclusion: Jigaohuangwan combined with Wulingsan combined with peritoneal perfusion has good curative effect on ascites of gastric cancer, which can improve symptoms, prolong survival and improve quality of life.