摘要
目的:探讨益气散结消水汤治疗肝硬变腹水临床疗效。方法:选择100例患者随机分为两组,治疗组60例,对照组40例。两组均予西药保肝、支持疗法,治疗组在此基础上加服中药益气散结消水汤(药物组成:人参12 g,黄芪30 g,白茯苓30 g,炒白术30 g,丹参30 g,郁金12 g,川芎12 g,赤芍15 g,云苓皮30 g,猪苓30 g,泽泻30 g,车前子30 g,白茅根30 g,大腹皮30 g,炙鳖甲30 g,炮穿山甲9 g,厚朴15 g,枳实15 g,细辛3 g,沉香(冲)3 g,炒麦芽30 g,茵陈40 g)治疗。结果:治疗组有效率为83.3%,对照组有效率为60.0%,两组比较,差异统有计学意义(P<0.01)。两组腹水消退时间、肝脏功能(Tbil、ALT、Alb)、腹水消退后疗效巩固比较及两组治疗前后腹围、体质量变化比较,治疗组均显著优于对照组(P<0.01,P<0.05,P<0.01)。结论:益气散结消水汤结合西药治疗肝硬变腹水在保护肝脏功能,促进腹水消退,降低腹水复发,提高生活质量等方面效果较单用西药为佳。
Objective：To observe the clinical curative effects of Yiqi Sanjie Xiaoshui Decoction on the treatment of 60 Cases of ascites due to cirrhosis. Methods： 100 patients were randomly divided into two groups,the treatment group of 60 eases and the control group of 40 cases. Both groups were given western medicine of hepatoproteetive treatment and supportive therapy. Based on the above treatment, the treatment group was added traditional Chinese medicine Yiqi Sanjie Xiaoshui Decoction （ drug composition：white ginseng 12 g,Salvia Astragalus 30 g,Poria Cocos 30 g,fried Atractylodes 30 g,radix salviae miltiorrhizae 30 g,turmericl2 g,hemlock parsley 12 g,red peony root 15 g,Poria from Yunnan of China 30 g,Polyporus 30 g,cloud Ling skin Alisma 30g Plantago 30 g,Rhizoma Imperatae 30 g, shell of areca nut 30 g,Sunburn turtle 30 g,cannon Shanjia 9 g,Magnolia 15 g,fried malt Citrus aurantium 15 g,asarum 3 g,agilawood 3 g,fried germinated barley 30 g, Herba Artemisiae CapiUaris 40 g）. Results：The effective rate of the treatment group was 83.3 % and the rate of the control group was 60%. Comparison of the two groups showed the difference was statistically significant（P 〉0.01 ）. The comparions between two groups showed that the treatment group was significantly better than the control group in the following aspects, regression time of ascites,liver function （Tbil, ALT and Alb）, efficacy consolidation after the disappearance of ascites, abdominal circumference and weight change before and after treatment（P 〈0.01 ,P 〈0.05 ,P 〈0.01 ）. Conclusion：The use of self-formulated Chinese medicine decoction combined with western medicine for the treatment of ascites due to cirrhosis is superior to the single use of western medicine in protecting liver function, promoting the regression of ascites, reducing recurrence of ascites and improving quality of life and other aspects.
出处
《中医学报》
CAS
2012年第8期1016-1018,共3页
Acta Chinese Medicine
关键词
肝硬变腹水
益气散结消水汤
支链氨基酸
ascites due to cirrhosis
yiqi sanjie xiaoshui decoction
branched chain aminoaeid
