论文部分内容阅读
目的:观察在常规治疗基础上加用软肝煎联合药膳治疗肝硬化腹水合并营养不良的临床效果。方法:选取80例脾肾阳虚型肝硬化腹水合并营养不良患者,随机分为对照组与观察组各40例,2组均给予护肝、利尿、补充白蛋白等常规治疗,观察组加用软肝煎联合药膳治疗,2组均以4周为1疗程,治疗3疗程。对比2组的临床疗效,治疗前后检测患者的体质量指数(BMI)、三头肌皮褶厚度(TSF)、上臂围(AC)、血清白蛋白(Alb)、前白蛋白(PA)、凝血酶原活动度(PTA),观察记录腹胀、黄疸、无力、下肢浮肿、少尿、纳呆等症状的消失时间。结果:观察组愈显率高于对照组,差异有统计学意义(P<0.05)。2组BMI、TSF及AC治疗前后比较,差异均无统计学意义(P>0.05)。2组Alb、PA、PTA均较治疗前升高(P<0.05),观察组3项指标值均高于对照组,差异均有统计学意义(P<0.05)。观察组腹胀、黄疸、无力、下肢浮肿、少尿、纳呆消失时间均较对照组缩短,差异均有统计学意义(P<0.05)。结论:在常规治疗基础上加用软肝煎联合药膳治疗肝硬化腹水合并营养不良临床效果显著,能够有效缓解患者的临床症状,提高肝脏合成功能,虽未能明显提高人体测量指标,但改善了能够反映人体营养状态的指标。
OBJECTIVE: To observe the clinical effects of combined Ruangan Jian combined with medicated diet on the treatment of cirrhosis with ascites and malnutrition on the basis of routine treatment. Methods: Eighty patients with ascites due to spleen and kidney yang deficiency were randomly divided into control group and observation group (n = 40). The two groups were given conventional therapy of protecting liver, diuresis, albumin, Ruangan Jian combined medicated treatment, 2 groups were 4 weeks for a course of treatment, treatment 3 courses. The clinical efficacy of the two groups were compared. The body mass index (BMI), triceps skin fold thickness (TSF), upper arm circumference (AC), serum albumin (Alb), prealbumin Enzyme activity (PTA), observed and recorded bloating, jaundice, weakness, lower extremity edema, oliguria, loss of appetite and other symptoms disappear time. Results: The cure rate of the observation group was higher than that of the control group, the difference was statistically significant (P <0.05). There was no significant difference between the two groups before and after BMI, TSF and AC treatment (P> 0.05). The Alb, PA, PTA in the two groups were significantly higher than those before treatment (P <0.05). The three indexes in the observation group were significantly higher than those in the control group (P <0.05). The abdominal distension, jaundice, weakness, edema of lower extremities, oliguria, disappearance of appetite in observation group were shorter than those in control group, and the difference was statistically significant (P <0.05). Conclusion: The addition of Ruanjian decoction combined with medicated diet to the treatment of ascites due to liver cirrhosis combined with malnutrition has significant clinical effect. It can effectively alleviate the clinical symptoms and improve the synthesis of liver. Although it can not obviously improve the body measurement index, it can improve Reflect the indicators of human nutrition status.