Clinical Observation Of Wenyang Lishui Decoction Combined With Peritoneal Circulating Thermal Perfusion Chotherapeutic For Treatment Of Spleen And Kidney-Yang Deficiency Malignant Ascites

Objective:Through the observation and analysis of the curative effect of warming Yang and nourishing water combined with peritoneal circulation hyperthermic perfusion chemotherapy in the treatment of malignant ascites,the feasibility and effectiveness of the combination of ancient medicine and modern medicine in the treatment of malignant ascites were discussed,and the scientific basis was provided for slowing down the recurrence time of patients with ascites,improving systemic symptoms,improving the quality of life and stabilizing the condition.Methods:Selected from December 2019 to January 2021 in the treatment of tumors oncology hospital patients with malignant ascites due to 60 cases,and in accordance with a random number table method,divided into 30 cases 30 cases of treatment group and control group,respectively treatment administered group(oral medicine cisplatin 60 mg intraperitoneal perfusion chemotherapy cycle),the control group(cisplatin alone 60 mg intraperitoneal perfusion chemotherapy cycle).After treatment,the two groups were observed in clinical indicators(maximum depth of ascites,flat umbilical abdominal circumference,kps score,TCM symptom score)difference,then statistically analyzed to evaluate its efficacy.Results:This study included 60 patients,loss due to disease progression of 3 cases,actually complete collection of 57 cases,29 cases were enrolled and 28 cases were in the control group.1.Comparison of the maximum depth of ascites:(1)intra-group comparison: the maximum depth of ascites in the treatment group before and after the measurement of B-ultrasound was found to have a significant decrease in ascites,Statistical data on(P <0.01)and the maximum depth of ascites.In the control group after the measurement of B-ultrasound was also found to have a significant decrease in ascites,Ascites decreased,the data is statistically significant(P <0.01).(2)Comparison between groups:after treatment the findings on the maximum depth of ascites relief treatment group was obviously better than the control group,and the experimental data with statistical significance(P < 0.05).2.Abdominal circumference umbilical level comparison: Comparison of the group(1):After treatment,the treatment group measured abdominal circumference umbilical level found significantly reduced than before treatment,having statistically significant(P<0.05);umbilical abdominal level control group after treatment Wai reduced than before treatment,having statistically significant(P <0.05).(2)among groups: In the two groups after treatment of abdominal girth umbilical level,the level found in the treatment group umbilical abdominal girth reduction degree is significantly better than the control group,and statistically significant(P <0.05).3.TCM symptom score comparison: comparing the groups(1): After treatment,the treatment group decreased significantly compared with treatment TCM symptom score Statistically significant(P <0.05);after treatment,the control group TCM symptom score also decreased compared with before treatment,there is statistically significant(P<0.05).(2)the comparison between groups: treatment group after treatment compared with the control group were TCM symptom score in the treatment group significantly decreased than the control group,(P < 0.05).Conclusions:Compared with unilateral thermoperfusion chemotherapy,Wenyang Lishui prescrip tion combined with intraperitoneal circulating thermoperfusion chemotherapycan m ore effectively reduce the volume of abdominal water,efficacy reduces the patien t’s abdominal volume,relives the patient’s pain,improves the patient’s life quality.