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特利加压素联合前列地尔对肝硬化顽固性腹水患者肝功能和肾功能的影响
作者:蒙冠龙  陶雪娥  覃冠 
单位:河池市第一人民医院 消化内科 广西壮族自治区 河池 546300 
关键词:特利加压素 前列地尔 腹水 顽固性 肝功能 肾功能 
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出版年,卷(期):页码:2016,8(4):44-47
摘要:

摘要:目的 研究特利加压素联合前列地尔对肝硬化顽固性腹水患者肝功能和肾功能的影响。方法 随
机选取自2014年12月到2015年8月于本院进行肝腹水治疗的肝硬化顽固性腹水患者56例,随机分为观
察组和对照组,每组28例。观察组患者采用饮食营养指导、限制钠盐及摄入水量、保肝、利尿等传统
方法进行治疗,对照组患者在传统治疗基础上加用特利加压素联合前列地尔进行治疗,治疗周期为21
天,观察两组患者治疗前后肝功能和肾功能的变化。结果 治疗前,两组患者的肝功能和肾功能差异
无统计学意义(P > 0.05);与对照组相比,观察组治疗后肝硬化患者腹水量显著减少,肝功能及肾
功能显著改善,与治疗前相比,差异均有统计学意义(P < 0.05)。结论 特利加压素联合前列地尔能
够有效降低肝硬化顽固性腹水患者腹水量并显著改善肝功能和肾功能。

Abstract: Objective To investigate the effects of terlipressin combined with alprostadil on liver and renal
function of patients with intractable ascites of cirrhosis. Methods Total of 56 patients with intractable ascites
of cirrhosis from December 2014 to August 2015 in our hospital were randomly selected and divided into
observation group and control group, 28 cases in each group. Patients in observation group were treated
with terlipressin combined with alprostadil on the basis of traditional treatment which included traditional
dietary guidelines, sodium restriction and water intake, hepatoprotective and diuretic methods, while patients
in control group were only given traditional treatment. The function of liver and renal in both groups were
observed after treatment for 21 days. Results Before treatment, the differences of liver and renal function
between the two groups had no statistical significance (P < 0.05). After treatment, the ascites volume
of patients in observation group decreased significantly, and the function of liver and renal improved
significantly (P < 0.05). Conclusion Erlipressin combined with alprostadil can effectively reduce the ascites
and improve liver and kidney function of patients with intractable ascites of cirrhosis.

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