复方中药灌肠治疗肝性脑病的临床效果分析

Clinical effect analysis of compound Chinese herbal enema on hepatic encephalopathy

目的观察复方中药灌肠治疗肝性脑病的临床效果.方法58例肝性脑病患者,采用入院顺序奇偶性分为对照组和试验组,每组29例.对照组患者采用常规治疗,试验组患者在对照组基础上采用复方中药灌肠治疗.比较两组患者临床疗效、治疗前后血氨水平.结果试验组患者治疗总有效率为89.66%(26/29),显著高于对照组的65.52%(19/29),差异具有统计学意义(P<0.05).治疗前1周,试验组患者血氨水平为(101.55±5.15)μmol/L,与对照组的(102.71±5.72)μmol/L比较差异无统计学意义(P>0.05);治疗2周后,试验组患者血氨水平为(69.67±8.97)μmol/L,低于对照组的(89.41±9.12)μmol/L,差异具有统计学意义(P<0.05).结论在肝性脑病患者治疗中,复方中药灌肠治疗能够促进患者病情恢复,且有效改善患者血氨水平,值得借鉴.

Objective To observe the clinical effect of compound Chinese herbal enema on hepatic encephalopathy.Methods A total of 58 hepatic encephalopathy patients were divided into control group and experimental group by admission order,with 29 cases in each group.The control group received conventional therapy,and the experimental group received compound Chinese herbal enema on the basis of the control group.The clinical efficacy and blood ammonia level before and after treatment was compared between the two groups.Results The total effective rate of treatment was 89.66%(26/29)in the experimental group,which was significantly higher than 65.52%(19/29)in the control group,and the difference was statistically significant(P<0.05).After 1 week of treatment,the blood ammonia level was(101.55±5.15)μmol/L in the experimental group,which had no statistically significant difference compared with(102.71±5.72)μmol/L in the control group(P>0.05).After 2 weeks of treatment,the blood ammonia level was(69.67±8.97)μmol/L in the experimental group,which was lower than(89.41±9.12)μmol/L in the control group,and the difference was statistically significant(P<0.05).Conclusion For the treatment of hepatic encephalopathy,compound Chinese herbal enema can promote recovery of patients’condition and effectively improve the level of blood ammonia.It is worthy of reference.