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目的:探讨中药灌肠联合门冬氨酸鸟氨酸治疗肝性脑病的临床疗效。方法:将符合纳入标准的74例肝性脑病患者随机分为治疗组和对照组,每组37例,对照组在西医常规治疗基础上结合门冬氨酸鸟氨酸治疗,治疗组在对照组基础上予以中药灌肠治疗,治疗7 d为1个疗程,连续治疗2个疗程后观察两组患者临床疗效、血氨、肝功能改善情况(ALT、ALB、TBIL)及患者苏醒时间、数字连接实验(NCT)等指标的变化。结果:治疗结束后,治疗组总有效率(91.9%)明显高于对照组(73.0%),差异有统计学意义(P<0.05);两组患者肝功能均较治疗前改善,治疗组改善更显著,且治疗组患者完全苏醒时间及NCT所用时间均较对照组短,差异均有统计学意义(P<0.05)。结论:中药灌肠联合门冬氨酸鸟氨酸治疗肝性脑病的临床疗效确切,可缩短患者完全苏醒时间,降低血氨浓度,有利于肝功能的恢复。
Objective: To investigate the clinical efficacy of traditional Chinese medicine enema combined with aspartate ornithine in the treatment of hepatic encephalopathy. Methods: A total of 74 patients with hepatic encephalopathy who met the inclusion criteria were randomly divided into treatment group and control group, with 37 cases in each group. The control group was treated with ornithine ornithine on the basis of routine treatment of Western medicine. In the control group On the basis of traditional Chinese medicine enema treatment, treatment for 7 days for a course of treatment, continuous treatment of two courses of clinical efficacy, improvement of blood ammonia, liver function (ALT, ALB, TBIL) and patient recovery time, digital connection experiment (NCT) and other indicators of change. Results: After treatment, the total effective rate (91.9%) in the treatment group was significantly higher than that in the control group (73.0%), the difference was statistically significant (P <0.05); the liver function of both groups improved compared with that before treatment, and the treatment group improved More significant, and the patients in the treatment group completely awake time and NCT time were shorter than the control group, the difference was statistically significant (P <0.05). Conclusion: The clinical efficacy of traditional Chinese medicine enema combined with aspartate ornithine in the treatment of hepatic encephalopathy is definite. It can shorten the complete recovery time of patients and decrease the serum ammonia concentration, which is beneficial to the recovery of liver function.