Ascites Due To Cirrhosis B Ultrasound, Serum Protein, Apolipoprotein Changes And Tcm Syndrome Research

Objective: During this trial we observed liver type-B ultrasonic ,serum albumin ,s apolipoprptein of 95 patients with Cirrhotic ascites .Then have a further sturdy to explore the correlation between syndrome patterns and microcosmic differentiation guide line of Cirrhotic ascites , as well as to explain its formation mechanism ,and to provide convenient objective indicators to guide for clinical treatment.Methods: Formulating a unified clinical observations, then collect clinical data of patients .Meanwhile collect liver type-B ultrasonic , serum albumin , apolipoprptein findings and make diagnosis differentiation in accordance with its standard. As well as have a further analysis of the correlation between syndrome patterns and microcosmic differentiation guide line of Cirrhotic ascites.Results: 1 .There are mainly stagnation of liver-QI and humid heat during these 95 patients. And ascites in water and wet internal resistance ,hepatic and renal yin deficiency ,asdthernic splenonephro-yang is worse .2.The research of the topic found that hepatic and renal yin deficiency group , asdthernic splenonephro-yang group and obstruction of collaterals by blood stasis with liver parenchyma severe shrinking mained; stagnation of liver-QI group with liver parenchyma mild shrinking or unchanged mained ; while humid henat group with liver parenchyma unchanged or increased mained ,the difference was statistically significantly.3.Serum albumin levels in asdthenic splenonephro-yang decreased significantly (P < 0.05 ) .4. apo-a and apo-b in all patterns decreased .And apo-a in obstruction of collaterals by blood stasis lower than other patterns .The difference was statstially significant.Conclusion:1.There are specific laws in the distribution of TCM patterns and in the changes of patterns.2.Hepatic and renal yin deficiency group , asdthenic splenonephro-yang and obstruction of collaterals by blood stasis compared with stagnation of liver-QI group and obstruction by humid heat group ,liver parenchyma shrinking is severer .Ultrasound examination showed the liver size classification to Cirrhotic ascites differential Treatment can be used a point of reference.3. Total protein in all patters decreased. And total protein in asdthenic splenonephro-yang lower than other patterns . Then total protein can be used as a differentiation indicator for obstruction of collaterals by.asdthenic splenonephro-yang. 4. apo-a and apo-b in all patterns decreased .And apo-a in hepatic and renal yin deficiency group, obstruction of collaterals by blood stasis lower than other patterns .Then apo-a can be used as a differentiation indicator for obstruction of collaterals by blood stasis.