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目的比较中心静脉导管腹水引流与腹腔穿刺抽水治疗肝硬化腹水的疗效。方法 69例肝硬化腹水患者,随机分为引流组(41例,使用中心静脉导管腹水引流)和抽水组(28例,进行腹腔穿刺抽水)。对比两组疗效。结果引流组腹水消失时间为(4.8±1.6)d,抽水组腹水消失时间为(8.4±3.0)d,引流组腹水消失时间明显短于抽水组,差异具有统计学意义(t=-6.467,P<0.05)。引流组并发症发生率为9.8%,低于抽水组的32.1%,差异具有统计学意义(χ2=5.453,P<0.05)。结论使用中心静脉导管腹水引流疗效显著,腹水消失快,病程缩短,并发症少,值得临床广泛推广使用。
Objective To compare the curative effect of ascites drainage by central venous catheter and ascites peritoneal puncture in the treatment of liver cirrhosis ascites. Methods Sixty-nine patients with cirrhosis and ascites were randomly divided into drainage group (41 cases, using central venous catheter ascites drainage) and pumping group (28 cases, abdominal puncture and pumping). Compare two groups curative effect. Results The disappearance time of ascites was (4.8 ± 1.6) days in drainage group and (8.4 ± 3.0) days in aspiration group, and the disappearance time of ascites in drainage group was significantly shorter than that in pumping group (t = -6.467, P <0.05). The incidence of complications in the drainage group was 9.8%, which was lower than that in the pumping group (32.1%) (χ2 = 5.453, P <0.05). Conclusions The use of central venous catheter ascites drainage effect is significant, ascites disappear quickly, shorten the course of the disease, fewer complications, it is widely used in clinical practice.