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 Wysłany: Sob 15:20, 26 Mar 2011 Temat postu: herve leger toronto Enema treatment of refractory |
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Enema treatment of liver cirrhosis with refractory ascites
Other cases outside the disorder. By liver function child - pagh grade, B grade 19 cases, C grade 27. Randomly divided into two groups, TCM and Western medicine treatment group (A group) 20 down, 14 men down. 6 females, aged 27 to 61 years, mean 45 years. 4 to 22 years duration of liver function 7 cases of B-class, c class in 13 cases. In the combination therapy group (B group) 26 cases, 18 males and 8 females, aged 28 to 64 years,[link widoczny dla zalogowanych], average 43 years old. Course of 5 ~ 2O years. Liver function, 12 cases B, C grade l4 cases. Two groups of gender, age, disease duration, liver function was no significant difference (P> O.05),[link widoczny dla zalogowanych], were comparable. 2 ill treatment groups were given limited water, sodium restriction,[link widoczny dla zalogowanych], intermittent alternating right amount of diuretics, as appropriate, antibiotics, since the protein, lowering blood ammonia and other drugs, but not with anti-virus and immune agents; bloating unbearable, affecting abdominal breathing, as appropriate, to wear a small amount of subretinal fluid. B group in the application of Western medicine on the basis of comprehensive treatment enema administration, the use of warming yang, Qi and blood circulation, spleen and Water, heat Tongfu of the law. Basic side: psoralen 30g, Gui l, Poria, red peony, Tai Fupi the 30g, rhubarb, Health Hawthorn both the 15g and so were added flatulence Campanulaceae; accompanied by digestive hemorrhage plus berberine, Panax powder; associated with hepatic encephalopathy who added Gardenia, Shichangpu. Concentration of each dose of medicine fry 150 ~ 200ml, daily l, sub-2 dose. No. F22 catheter used, the solution will be fried slowly drip anal rectum,[link widoczny dla zalogowanych], try to keep the depth of the catheter and the maintenance of 3O ~ 60 minute bit rate, to facilitate absorption. Abdominal circumference were measured daily, recording intake and output,[link widoczny dla zalogowanych], the line B-test before and after treatment and a full set of biochemical tests. 3O days for a course of treatment. Standard 3 markedly effective treatment outcome 3.1: abdominal distention disappeared, more than 1000ml urine daily, reduced abdominal circumference more than lOcm, B ultrasound showed complete disappearance of ascites, liver function was normal or near normal effective: bloating relief, 24h urine 5O0 ~ l000ml, abdominal circumference reduction, j, 5. ore. B ultrasound showed moderate ascites, abnormal liver function is invalid: no slow Wren bloating, ascites, or no change in disease progression or death. 3.2 Results A group 2O down, effective in a down (OO5), 5 cases (25), ineffective in 14 patients (70). The total effective 3O. B group, 26 cases markedly effective in 6 cases (22 + O , effective in 12 cases (47.15), 8 down invalid (30.77), the total effective rate was 69.23 efficiency of the two groups, the total effective rate, the differences were significant (P <O.05). 3.3 The effective follow-up case tracking two cases of a disease recurrence and survival in, A group of 5 cases of recurrence were dead (100). Group B recurrence 15 down, 7 died (46.7). The difference was significant (P <O.05). 4 Discussion In addition to cirrhosis of the liver with advanced refractory ascites and portal hypertension, hypoalbuminemia, renal insufficiency related to, but now that the cytotoxic effect of the drug is also contributing to ascites leakage tangled or hard to dismiss one of the reasons [r. Pharmacological studies have shown that black. Psoralen, Guizhi can increase renal blood flow; TPG improve hepatic microcirculation, portal pressure reduction; rhubarb, Health Hawthorn intestinal acidification was to improve the intestinal micro-ecological environment in order to reduce the production of toxins within the intestinal immunogenicity, while Accelerated intestinal bacteria and endotoxin discharge, thus improving liver function and reduce mortality. Cirrhosis with refractory ascites Western medicine with diuretic, ascites or concentrated intravenous autologous ascites reinfusion therapy, side effects and more expensive, mostly in traditional Chinese medicine decoction of the main, patients are often reluctant to medication due to a high degree of abdominal distension and fail to treat effect. Enema method is simple, less side effects and good results because of fewer cases, to be further explored
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