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目的:评估自拟健脾活血法联合腹水超滤浓缩回输术治疗肝炎肝硬化顽固性腹水患者的临床疗效,观察顽固性腹水的疗效。方法:应用腹水超滤浓缩腹腔回输术治疗顽固性腹水,同时加服健脾活血汤2个月,观察患者治疗前后症状、体征及血生化指标的变化。结果:40例顽固性腹水患者治疗后体重、腹围、血清清蛋白及腹水吸收情况经统计学处理差异有统计学意义(P<0.05),总有效率87.5%。结论:健脾活血法联合腹水超滤浓缩回输术是治疗顽固性腹水的有效方法。
Objective: To evaluate the clinical efficacy of Jianpi Huoxue combined with ultrafiltration aspiration of ascites in the treatment of refractory ascites due to liver cirrhosis and to observe the curative effect of refractory ascites. Methods: Ascites ultrafiltration concentrated abdominal transfusion for the treatment of intractable ascites, plus Jianpi Huoxue Decoction for 2 months, observed before and after treatment of patients with symptoms, signs and changes in blood biochemical parameters. Results: The body weight, abdominal circumference, serum albumin and ascites absorption in 40 patients with refractory ascites were statistically significant (P <0.05). The total effective rate was 87.5%. Conclusion: Jianpihuoxue combined with ultrafiltration of ascites concentration and transfusion is an effective method for the treatment of refractory ascites.