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目的探讨综合疗法治疗乙型肝炎(简称乙肝)肝硬化顽固性腹水的效果。方法收集该院收治的96例乙肝肝硬化顽固性腹水患者,按治疗方法的不同分为对照组46例和观察组50例,比较两组患者疗效、Child-Pugh评分、症状与体征转归情况。结果经3个月治疗与随访,观察组患者治疗总有效率明显高于对照组。两组患者治疗前ChildPugh评分差别不大,随着治疗时间的延长,两组患者Child-Pu gh评分均有所降低,尤其是观察组。两组患者治疗后腹胀、乏力、黄疸、下肢水肿、食欲缺乏所占比例均明显低于治疗前,尤其是观察组降低幅度更明显。结论综合疗法治疗乙肝肝硬化顽固性腹水效果良好,症状多有缓解。
Objective To investigate the effect of comprehensive therapy on refractory ascites of hepatitis B (cirrhosis). Methods A total of 96 patients with cirrhosis of liver cirrhosis and refractory ascites were enrolled in this study. According to the different treatment methods, they were divided into control group (46 cases) and observation group (50 cases). The curative effect, Child-Pugh score, symptoms and signs were compared between the two groups . Results After 3 months of treatment and follow-up, the total effective rate of observation group was significantly higher than that of control group. ChildPugh scores before treatment were similar between the two groups. Child-Pu gh scores decreased with the extension of treatment time, especially in the observation group. The two groups of patients after treatment of abdominal distension, fatigue, jaundice, lower extremity edema, the proportion of appetite were significantly lower than before treatment, especially in the observation group decreased more significantly. Conclusion The comprehensive treatment of hepatitis B cirrhosis refractory ascites effect is good, the symptoms were relieved.