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[目的]采用多普勒超声评估补气活血法治疗肝硬化门静脉高压患者的门静脉血流动力学的影响。[方法]选择82例肝硬化门静脉高压患者,随机分为2组,在常规治疗的基础上,治疗组42例加用补气活血中药,对照组40例加服心得安;用彩色多普勒超声仪观察2组治疗前、后门静脉血流动力学的变化。[结果]治疗后治疗组门静脉血流动力学的变化(即门、脾静脉血流速度加快,门、脾静脉内径缩小)明显优于对照组。[结论]补气活血法治疗可降低门静脉压力,减少门静脉高压并发症的发生;彩色多普勒超声对门静脉高压诊断及治疗评估有重要意义。
[Objective] To evaluate the influence of qiqihuoxue on portal hemodynamics in cirrhotic patients with portal hypertension by Doppler echocardiography. [Methods] 82 patients with portal hypertension of cirrhosis were randomly divided into 2 groups. On the basis of routine treatment, 42 patients in the treatment group were treated with Chinese herb of invigorating qi and activating blood and 40 patients in the control group were treated with propofol. The changes of portal hemodynamics in the two groups before and after treatment were observed with ultrasound. [Results] The changes of portal hemodynamics (ie, faster portal and splenic blood flow velocity, smaller diameter of portal vein and splenic vein) in treatment group after treatment were significantly better than those in control group. [Conclusion] The therapy of invigorating qi and activating blood circulation can reduce the pressure of portal vein and reduce the incidence of portal hypertension. Color Doppler ultrasonography is of great significance in the diagnosis and treatment of portal hypertension.