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目的:观察在常规西药治疗基础上采用健脾活血利水方对肝硬化腹水患者超声声像图及肝功能的影响。方法:选取100例肝硬化腹水患者为研究对象,随机分为对照组和观察组各50例。对照组给予常规西药治疗,观察组在此基础上加以健脾活血利水方加减治疗,2组均连续治疗2月,比较2组治疗前后各项实验室生化指标的变化情况,以及2组治疗前后的腹水比重、胆囊壁厚度等指标的变化情况。结果:治疗后,观察组的谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆红素(TBil)、球蛋白(Glb)、白蛋白(Alb)、总蛋白(TP)等指标的改善均优于对照组(P<0.01);2组腹水比重、胆囊壁厚度等指标均降低,观察组此2项指标值均低于对照组(P<0.05)。结论:肝硬化腹水患者在常规西药治疗基础上给予健脾活血利水方加减,可改善患者的肝功能状态,减低双边影胆囊壁及增厚情况,临床效果确切,值得推广应用。
Objective: To observe the effects of Jianpi Huaxueli Recipe on ultrasound and hepatic function in cirrhotic patients with ascites on the basis of conventional western medicine. Methods: 100 cases of cirrhotic patients with ascites were selected and randomly divided into control group and observation group of 50 cases. The control group was treated with conventional western medicine. On the basis of this, the observation group was treated with the method of invigorating the spleen, invigorating the circulation and invigorating blood and diuresis, and the two groups were treated continuously for 2 months. The biochemical indexes of the two groups before and after treatment were compared, Before and after the proportion of ascites, gallbladder wall thickness and other indicators of change. Results: After treatment, the indexes such as AST, ALT, TBil, Glb, Alb and TP in the observation group were improved (P <0.01). The ascites specific gravity and the thickness of gallbladder wall in the two groups were lower than those in the control group (P <0.05). Conclusion: Ascites in patients with cirrhosis can be treated with traditional Chinese medicine on the basis of traditional Chinese medicine plus Jianpi Huoxuelifang addition and subtraction, can improve the patient’s liver function, reduce bilateral gallbladder wall and thickening of the situation, the exact clinical effect, it is worth promoting the application.