A Clinical Study On The Treatment Of Primary Liver Cancer Ascites With Topical Application Of Shenque

ObjectiveIn this study,patients with primary liver cancer ascites were treated by umbilical water elimination external application of shenque,and the clinical indicators such as duration of common symptoms,ascites depth,quality of life,and urine volume were observed and compared before and after treatment,so as to evaluate the clinical efficacy of umbilical water elimination external application of shenque in the treatment of primary liver cancer ascites.MethodsThe subjects of this study were 70 inpatients in tumor area 2 of guangzhou hospital of traditional Chinese medicine from January 2019 to January 2020 who met the inclusion criteria.They were randomly divided into treatment group and control group,with 35 patients in each group.The course of treatment was 10 days.Control group to western medicine symptomatic treatment(limit sodium salt,diuretic,albumin infusion),the treatment group in the control group on the basis of navel water with external application of shenque.The improvement of urine volume,abdominal circumference,ascites depth,TCM symptom duration and quality of life were observed,and the results and conclusions were obtained by using statistical tools for data processing.Results(1)Comparison of baseline data:age,gender,ascites degree and other data of all subjects were compared,and there was no significant difference in baseline data between the two groups(P>0.05),which was comparable.(2)Comparison within the observation index group:compared with before treatment,there were significant differences in ascites depth,abdominal circumference,average 24-hour urine volume,total score of TCM symptoms,and cartesian score between the two groups(P<0.05).There was no significant difference in body weight between the two groups before and after treatment(P>0.05).(3)Comparison of observation indicators between groups:before treatment,there was no significant difference between the two groups in ascites depth,abdominal circumference,average 24-hour urine volume,body weight,total score of TCM symptoms,and cartesian score(P>0.05).The two groups were comparable.After treatment,there were significant differences in ascites depth,average 24-hour urine volume,total score of TCM symptoms,and cartesian score between the two groups(P<0.05),while there were no significant differences in body weight and abdominal circumference(P>0.05).Compared with the control group,the duration of symptoms of abdominal distention,poor appetite,fatigue and lower limb edema in the treatment group was significantly different(P<0.05),while the duration of symptoms of nausea,vomiting and dyspnea was not significantly different(P>0.05).(4)Comparison of difference value:after treatment,there were significant differences in cartesian score,ascites depth and average 24-hour urine volume between the two groups(P<0.05),while there were no significant differences in abdominal circumference,weight and total score difference of TCM symptoms(P>0.05).(5)Comparison of efficacy between the two groups.Quality of life and efficacy of ascites were both used as evaluation indexes of efficacy.After treatment,there was a significant difference in the composition of efficacy of ascites between the two groups(P<0.05),but there was no significant difference in the total effective rate between the two groups(P>0.05).After treatment,there was no significant difference in the composition of efficacy and the total improvement rate of the two groups(P>0.05).Conclusion1.It can effectively increase the average 24-hour urine volume of patients,improve the quality of life,reduce the depth of ascites,significantly shorten the duration of abdominal distension,poor appetite,fatigue,lower limb edema symptoms,and the curative effect is better than western medicine symptomatic treatment.2.Omphalic water elimination external application of shenque in symptom integral and abdominal circumference improvement of the curative effect is not inferior to western medicine symptomatic treatment.3.Umbilical water elimination external application of shenque did not significantly improve the patient’ s weight level and the duration of symptoms of nausea,vomiting and dyspnea.