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Expert consensus on integrated traditional Chinese and Western medicine diagnosis and treatment of cirrhotic ascites （2025）
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摘要: 肝硬化腹水是一种高发且易复发的临床病症，本共识融合了中西医对肝硬化腹水的理解，从病因病理、诊断技术到治疗策略进行全面梳理，展现了本领域最新的研究进展，强调了中西医结合在缓解症状、控制病情进展及提升患者生活质量方面的优势，突出临床实用导向。Abstract: Cirrhotic ascites is a highly prevalent and recurrent clinical condition. This consensus integrates the understanding of traditional Chinese and Western medicine on ascites caused by liver cirrhosis， comprehensively reviews the etiology， pathology， diagnostic techniques， and treatment strategies， presents the latest research progress in this field. Moreover， it emphasizes the advantages of combining traditional Chinese and Western medicine in relieving symptoms， controlling disease progression， and improving patients’ quality of life， and highlights the clinical practical orientation.
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表 1 证据质量评估及推荐强度分级
Table 1. Evaluation of evidence quality and classification of recommendation strength
分级 概述 证据质量分级 高（A） 进一步研究不可能改变对该疗效评估结果的可信度 中（B） 对观察值有中等程度信心：真实值有可能接近观察值，但仍存在两者不同的可能性 低（C） 对观察值的确信程度有限：真实值可能与观察值不同 极低（D） 对观察值信心较低：真实值很可能与观察值不同 推荐强度分级 强（1） 明确显示干预措施利大于弊或者弊大于利 弱（2） 利弊不确定或无论质量高低的证据均显示利弊相当 
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