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[目的]观察加味十枣膏外敷联合西医治疗癌性腹水疗效。[方法]使用随机平行对照方法,将61例住院患者按就诊顺序随机分两组。对照组30例腹腔穿刺抽取腹水;呋塞米20mg,qd;螺内酯20mg,bid。治疗组31例加味十枣膏(芫花、甘遂、大戟、生大黄、甘草、姜黄、槟榔、大枣等),以脐为中心外敷,外用腹带固定,每天换药;西医治疗同对照组。连续治疗2周为1疗程。观测临床症状、KPS评分、腹水最大液平直径、腹围、腹胀、呕吐、不良反应。治疗1疗程,随访4周,判定疗效。[结果]治疗组CR11例,PR18例,SD1例,PD1例,总有效率93.54%;对照组CR4例,PR17例,SD4例,PD5例,总有效率70.00%;治疗组疗效优于对照组(P<0.05)。腹水最大液平直径、腹围、KPS评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]加味十枣膏外敷联合西医治疗癌性腹水,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Jia Za Zazao Ointment combined with western medicine on cancerous ascites. [Methods] Using randomized parallel control method, 61 inpatients were randomly divided into two groups according to the order of treatment. Control group, 30 cases of ascites by abdominal paracentesis; furosemide 20mg, qd; spironolactone 20mg, bid. In the treatment group, 31 cases were treated with ten jujube paste (Daphne, kansui, Euphorbia, rhubarb, licorice, turmeric, betel nut, jujube, etc.) Control group. Continuous treatment for 2 weeks for a course of treatment. Clinical symptoms, KPS score, maximum liquid level of ascites, abdominal circumference, bloating, vomiting and adverse reactions were observed. Treatment 1 course of treatment, followed up for 4 weeks to determine the efficacy. [Results] CR11, PR18, SD1 and PD1 in the treatment group had a total effective rate of 93.54%. CR4, PR17, SD4 and PD5 in the control group had a total effective rate of 70.00%. The treatment group was superior to the control group (P <0.05). Ascites maximum diameter, abdominal circumference, KPS scores were improved in both groups (P <0.01), the treatment group improved better than the control group (P <0.01). [Conclusion] Modified ten jujube ointment combined with Western medicine in the treatment of cancerous ascites has satisfactory curative effect and no serious adverse reactions, which deserves promotion.