中药三黄汤保留灌肠用于肝性脑病的临床疗效观察及护理

Treating hepatic encephalopathy in TCM

目的：通过临床观察中药三黄汤保留灌肠治疗肝昏迷的疗效,并进行安全性评价。方法：将200例肝性脑病患者随机分为治疗组（在常规治疗的基础上加用中药150m L保留灌肠）和对照组（采用常规治疗）各100例,进行临床观察,1次/d,疗程为10~20d。结果：观察组临床综合疗效优于对照组（P〈0.05）;观察组在改善肝功能、降低血氨、提高血浆蛋白方面较对照组作用明显（P〈0.01或0.05）。结论：三黄汤保留灌肠对改善肝性脑病临床症状疗效显著。

Objective： To explore clinical efficacy of retention enema with the Sanhuang decoction on hepatic encephalopathy. Methods： 200 cases of hepatic encephalopathy were randomly divided into the treatment group, treated with the Sanhuang decoction, and the control group（conventional therapy）, 100 cases for each. Results： Clinical efficacy in the observation group was better（P〈0.05）; in the observation group, liver function, lower blood ammonia and plasma protein were significantly better（P〈0.01 or 0.05）. Conclusion： The Sanhuang decoction by retention enema is effective on hepatic encephalopathy.