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[目的]中医辨证施治联合西药治疗肝硬变腹水疗效。[方法]将我院收治的180例肝硬变腹水患者,分为治疗组和对照组,每组90例。对照组使用复方丹参注射液20mL,加入5%葡萄糖250mL;复方氨基酸250mL,一次静脉滴注。蛋白过低者适量补充人血白蛋白。腹水重者采用短程、联合、间歇、反复的利尿法。疗程间歇4~5d。治疗组在对照组治疗基础上采用中医辨证施治。均以1个月为1个疗程,治疗1个月判定疗效。[结果]治疗组总有效率93.30%,对照组总有效率72.20%,治疗组临床疗效优于对照组。[结论]中医辨证施治联合西药治疗肝硬变腹水能改善临床症状,是肝硬化治疗的较好方法。
[Objective] Therapeutic effect of traditional Chinese medicine combined with western medicine on cirrhosis ascites. [Methods] 180 cases of liver cirrhosis ascites admitted to our hospital were divided into treatment group and control group, 90 cases in each group. The control group using compound Danshen injection 20mL, adding 5% glucose 250mL; compound amino acids 250mL, a intravenous drip. Proper amount of protein supplementation of human serum albumin. Severe ascites using short-range, combined, intermittent, repeated diuretic. Intermittent treatment 4 ~ 5d. Treatment group in the control group based on the treatment of traditional Chinese medicine syndrome differentiation. All 1 month for a course of treatment for 1 month to determine the efficacy. [Results] The total effective rate was 93.30% in the treatment group and 72.20% in the control group, and the clinical efficacy in the treatment group was better than that in the control group. [Conclusion] TCM syndrome differentiation combined with Western medicine in the treatment of liver cirrhosis ascites can improve the clinical symptoms and is a good method for the treatment of cirrhosis.