世界中医药

目的：探究肝硬化门脉高压有效的防治方法。方法：我院中医预防保健科在传统针灸疗法基础上选用经穴和经外奇穴和辨证加减经穴治疗，2014年3月至2015年10月到我院就诊住院肝硬化门静脉高压患者100例，随机分成治疗组和对照组进行临床研究。治疗组60例，其中男37例，女23例；年龄20～70岁，腹水58例，伴有胸水12例，伴有双下肢水肿27例，伴有腹壁静脉曲张8例，伴有下肢静脉曲张3例；对照组40例；其中男27例，女13例，年龄22～70岁，腹水38例，伴有胸水7例，伴有双下肢水肿17例，伴有腹壁静脉曲张5例，伴有下肢静脉曲张2例。2组在发病年龄、性别、临床症状、体征及化验、彩色超声相关检查等方面比较差异无统计学意义（P>0.05）,具有可比性。结果：治疗8个月后，治疗组，除2例患者伴有少量腹水外，其余腹水、胸水、下肢水肿、壁静脉曲张、下肢静脉曲张的体征全部消除；对照组，仅有2例患者腹水消除，其余腹水、胸水、双下肢水肿、腹壁静脉曲张、下肢静脉曲张体征无明显变化，患者例数依次为35例、7例、17例、5例。治疗组在肝功能、血常规、蛋白比值、肝纤四项、肝胆脾腹部彩超数据治疗前后疗效显著优于对照组，相关检查等方面比较有统计学意义（P<0.05），说明2组治疗后在临床症状、体征及化验、彩色超声相关检查等方面比较有统计学意义，治疗组显著优于对照组。结论：在传统针灸疗法基础上选用经穴和经外奇穴和辨证加减经穴可以有效治疗肝硬化门脉高压。

English Summary:

To explore the effective methods of prevention and treatment of portal hypertension in liver cirrhosis.Methods:Based on traditional acupuncture therapy on the acupoint and extra point and syndrome differentiation，our hospital performed the treatment.From March 2014 to October 2015，100 cases of hospitalized patients in our hospital with liver cirrhosis and portal hypertension，were randomly divided into treatment group and control group for clinical research.Among the treatment group of 60 cases，37 cases were male，23 were female； aged 20-70 years，58 cases of ascites，12 cases with pleural effusion，27 cases accompanied by edema in lower limbs，8 cases with abdominal varices，3 cases with varicose vein.Among the 40 cases in the control group，there were 27 males and 13 females，aged from 22 to 70，38 cases of ascites，7 cases with pleural effusion，17 cases with lower extremity edema，5 cases with abdominal varices，2 cases with varicose veins of lower extremity.There were no significant differences between the two groups in terms of age，sex，clinical symptoms，physical signs，laboratory tests and color ultrasound examination，which meant the two groups were comparable.Results:After 8 months of treatment in the treatment group，except for 2 cases with light ascites，the hydrothorax，ascites，remaining wall edema of lower limbs，varicose veins，varicose veins of lower extremity signs were eliminated.As for the control group，except for the 2 cases with ascites elimination，the ascites，pleural effusion，lower extremity edema，abdominal wall varicose veins，varicose veins of lower extremity symptoms had no obvious changes，the number of patients were 35 cases，7 cases，17 cases，5 cases.The abdominal ultrasound results of liver function，blood routine，protein ratio，liver fiber four，liver and spleen treatment in the treatment group were better than the control group，with statistically significant differences(P<0.05)，indicating that there were significant differences in clinical symptoms，signs and laboratory tests，color ultrasound examination between the two groups，and the treatment group′s results were significantly better than the control group.Conclusion:The traditional acupuncture therapy on the basis of the extra points and modified acupoints according to syndromes can be effective in the treatment of liver cirrhosis and portal hypertension.

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