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目的探究大量放腹水加白蛋白治疗肝硬化张力性腹水的临床疗效。方法 80例肝硬化张力性腹水患者,随机分为对照组和观察组,各40例。对照组采用利尿剂进行治疗,观察组采用大量放腹水加白蛋白治疗。比较两组患者的治疗效果。结果观察组显效37例,显效率为92.5%,对照组显效30例,显效率为75.0%,两组显效率比较差异有统计学意义(P<0.05);观察组住院时间明显短于对照组(P<0.05);观察组并发症发生例数明显少于对照组(P<0.05)。治疗后观察组各生化指标优于治疗前及对照组,差异有统计学意义(P<0.05)。结论采用大量放腹水加白蛋白治疗肝硬化张力性腹水具有良好的疗效,有利于缓解病情,降低并发症发生几率,值得在临床中推广应用。
Objective To investigate the clinical efficacy of a large amount of ascites plus albumin in the treatment of cirrhotic ascites. Methods Eighty patients with cirrhosis with ascites were randomly divided into control group and observation group, 40 cases in each group. The control group was treated with diuretics, and the observation group received a large amount of ascites plus albumin. The treatment effect of two groups of patients was compared. Results In the observation group, 37 cases were markedly effective, the effective rate was 92.5%, the effective rate was 75.0% in the control group, and the difference was significant (P <0.05); the length of stay in the observation group was significantly shorter than that in the control group (P <0.05). The incidence of complications in the observation group was significantly less than that in the control group (P <0.05). After treatment, the biochemical indexes of the observation group were better than those before treatment and the control group, the difference was statistically significant (P <0.05). Conclusion A large amount of ascites plus albumin in the treatment of cirrhotic ascites has a good curative effect, which is beneficial to relieve the disease and reduce the incidence of complications, which is worth popularizing in the clinic.