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[目的]观察四黄水蜜膏敷脐联合西药治疗肝硬化自发性腹膜炎疗效。[方法]使用随机平行对照方法,将70例住院患者按病志号抽签简单随机分为两组。对照组35例常规西医综合,利尿、护肝解毒、维持水电解质及酸碱平衡及抗生素。治疗组35例四黄水蜜膏(黄连、黄柏、黄芩、大黄、冰片、乳香、血竭、没药各10g,苦参20g,伸筋草15g,透骨草20g),研磨成粉,加适量凉水与蜂蜜,拌糊,外敷脐部及周围,再红外线灯照射脐部,微微加热,3~4h/次,2次/d;西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈15例,显效16例,有效2例,无效2例,总有效率91.43%。对照组痊愈10例,显效12例,有效3例,无效10例,总有效率71.43%。治疗组疗效优于对照组(P<0.05)。[结论]四黄水蜜膏敷脐联合西药治疗肝硬化自发性腹膜炎效果显著,值得推广。
[Objective] To observe the curative effect of Sihuang water cream and navel combined with western medicine on spontaneous peritonitis of cirrhosis. [Methods] Using randomized parallel control method, 70 inpatients were randomly divided into two groups randomly according to the patient’s lot number. Control group of 35 cases of conventional Western medicine, diuretic, liver detoxification, to maintain water and electrolyte and acid-base balance and antibiotics. The treatment group 35 cases of four yellow water cream (Coptis, Phellodendron, skullcap, rhubarb, borneol, frankincense, blood dried, myrrh 10g, Sophora 20g, Scallop grass 15g, Speranskia 20g), ground into powder, add appropriate amount Cold water and honey, mixed with paste, topical umbilical and around, and then infrared light irradiation navel, slightly heated, 3 ~ 4h / time, 2 times / d; western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 15 cases, markedly effective in 16 cases, effective in 2 cases, ineffective in 2 cases, the total effective rate was 91.43%. The control group recovered 10 cases, markedly effective in 12 cases, effective in 3 cases, ineffective in 10 cases, the total effective rate was 71.43%. The treatment group was better than the control group (P <0.05). [Conclusion] Sihuang water cream paste navel combined with Western medicine for the treatment of cirrhosis of spontaneous peritonitis significant effect, it is worth promoting.