藏医尼如哈疗法治疗肝性脑病临床疗效观察

Clincial observation on treating hepatic encephalopathy by the Niruha therapy

目的:证明藏医尼如哈疗法治疗肝性脑病的临床疗效。方法:以藏医理论为指导选择40例肝性脑病患者,随机分为治疗组20例和对照组20例。治疗组采用尼如哈疗法加常规藏西结合治疗方案,对照组单纯采用常规藏西结合治疗。比较两组患者精神状态、数字连接实验及扑翼样震颤的改善情况,治疗前后肝功的变化情况。结果:治疗组和对照组总有效率分别为75.00%、45.00%,治疗组疗效显著优于对照组(P<0.05);两组在改善精神状态、数字连接实验及扑翼样振颤方面均具有较好的临床疗效,且治疗组在精神状态及扑翼样振颤方面改善与对照组比较差异显著(P<0.05);治疗组患者治疗后谷丙转氨酶及谷草转氨酶均显著下降(P<0.05),且治疗组显著优于对照组(P<0.05)。结论:藏医尼如哈疗法在治疗肝性脑病方面疗效显著,可以明显改善患者的症状与体征,具有改善肝功能的作用。

Objective:To prove the clinical effect of the Niruha therapy on hepatic encephalopathy.Methods:40patients wererandomly divided into the treatment group(n=20)and control group(n=20).The treatment group was treated by the Niruha therapy plusconventional Tibetan-western medicine;and the control group was treated with conventional Tibetan-western medicine.Results:Thetotal efficiency was75.00%in the treatment group,better than45.00%in the control group(P<0.05).The mental state,digital connectionexperiment and flapping wing tremor were improved in two groups,and those in the treatment group were better(P<0.05).In the treatmentgroup,the levels of alanine aminotransferase and aspartate aminotransferase were significantly decreased(P<0.05);and those was moredecreased than the control group(P<0.05).Conclusion:The Niruha therapy is effective on hepatic encephalopathy,by improving symptomsand function of liver function.