Effect of Fupi Lishui Xiaogu Recipe(扶脾利水消鼓方)Combined with TCM Syndrome Differentiation on Liver Function and Nutrition Index of Patients with Ascites of Liver Cirrhosis
Objective To evaluate the effects of Fupi Lishui Xiaogu Recipe(扶脾利水消鼓方)combined with TCM syndrome differentiation on liver function and nutrition index of patients with ascites of hepatitis B cirrhosis.Methods A total of 92 patients with ascites of hepatitis B cirrhosis admitted to the hospital from July 2020 to July 2022 were selected as the research objects.Ac-cording to randomized control method,the patients were divided into study group and reference group,with 46 cases in each group.The control group was given routine medical treatment,bed rest after admission,diet with intake of low salt,low fat and high-quality protein,inducing diuresis to reduce edema,liver protection and antiviral treatment.Based on the treatment of the reference group,the study group was treated with Fupi Lishui Xiaogu Recipe combined with TCM syndrome differentiation.Both groups were treated continuously for 3 months.The scores of liver depression and spleen deficiency,the total effective rate,the levels of aspartate amino acids(AST),alanine aminotransferase(ALT),total bilirubin(T-Bil)and albumin(ALB),and the changes of nutrition-related indexes were compared between the two groups before and after treatment.Results The therapeutic effect of the study group was better than that of the control group(P＜0.05).After treatment,the scores of abdominal distension,poor eating,fatigue,hypochthic pain and jaundice in both groups were lower than those before treatment.The scores of abdominal distension,poor eating,fatigue,hypochthic pain and jaundice in the study group were lower than those in the control group(P＜0.05).After treatment,the levels of ALT,AST and T-Bil in the two groups were lower than those before treatment,while the levels of ALB were higher than those before treatment.The levels of ALT,AST and T-Bil in the study group were lower than those in the control group,while the level of ALB was higher than that in the control group(P＜0.05).After treatment,the val-ues of body mass index(BMI),triceps skinfold thickness(TSF)and triceps muscle circumference(AMC)of the two groups were higher than those before treatment,and the nutritional risk score of the two groups was lower than that before treatment.The com-parison of the results between groups showed that the values of BMI,TSF and AMC of the study group were higher than those of the reference group,and the nutritional risk score was lower than that of the reference group(P＜0.05).Conclusion Fupi Lishui Xiaogu Recipe combined with TCM syndrome differentiation and dietary treatment can help to improve the clinical symptoms of patients with ascites of hepatitis B cirrhosis,enhance the effect of inducing diuresis to reduce edema,improve the liver function,promote the recovery of water-liquid metabolic function,improve the nutritional status and the therapeutic effect,which is worthy of further clinical research and discussion.
Fupi Lishui Xiaogu Recipe(扶脾利水消鼓方)TCM diet based on syndrome differentiationhepatitis B cirrho-sis ascitesnutritional indexinfluence
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