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虎兰饮合水律丸治疗肝硬化腹水48例
引用本文:蔚林兰,杜发斌,冯明辉,张瑞,黄崇政.虎兰饮合水律丸治疗肝硬化腹水48例[J].实用中医内科杂志,2011,25(1):10-12.
作者姓名:蔚林兰  杜发斌  冯明辉  张瑞  黄崇政
作者单位:广东省江门市五邑中医院,广东江门,529031
基金项目:广东省中医药管理局资助项目
摘    要:目的]研究中药虎兰饮合水律丸对晚期肝硬化腹水的治疗作用。方法]选住院85例肝硬化腹水病例,随机分为治疗组48例,西药对照组37例。治疗组根据病人不同的临床特点进行辨证论治用虎兰饮方加减,同时用水律丸口服,对照组常规用螺内酯片、速尿片、双氢克尿塞或利尿合剂等治疗,观察治疗前后腹水变化情况(B超检测),腹围变化,生化检测,TBili,ALT,24h尿量,生活质量变化(腹胀、饮食)等情况。结果]经4周的治疗,治疗组显效33例,总有效率93.75%。对照组显效18例,总有效率75.68%,两组比较有非常显著性差异(P<0.01)。结论]虎兰饮合水律丸治疗肝硬化腹水有较好的疗效,其主要作用是扶正祛邪,较快消除腹水,减轻病人的痛苦,且其作用稳定,复发率小,有较好的治疗效果。

关 键 词:肝硬化腹水  虎兰饮/水律丸  健脾益气  逐水通络

Clinical Observation on the Effects of TCM Hu Lan Yin and Shui Lv Bolus on 48 Ascites Due to Hepatocirrhosis
Authors:WEI Lin-lan  DU Fa-bin  FENG Ming-hui  ZHANG Rui  HUANG Chong-zheng
Affiliation:WEI Lin-lan,DU Fa-bin,FENG Ming-hui,ZHANG Rui,HUANG Chong-zheng(Wuyi Hospital of Jiangmen City,Jiangmen 529031,Guangdong,China)
Abstract:Objective]To observe the effects of TCM Hu Lan Yin and Shui Lv bolus on the treatment of ascites due to hepatocirrhosis.Methods]85 cases of ascites due to cirrhosis patients were randomly divided into the control group(n=37) and the treatment group(n=48).The treatment group were mainly treated with Hu Lan Yin companded withShui Lv bolus,and modified by adding or deleting according to the individual case.The control group were treated with spironolactone tablets,furosemide tablets,hydrochlorothiazide and s...
Keywords:ascites due to cirrhosis  Hu Lan Yin and Shui Lv bolus  strengthen the spleen and nourish qi  induce diuresis and dredge the meridian  
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