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目的:讨论去除诱因联合门冬氨酸鸟氨酸静脉注射及乳果糖灌肠疗效。方法:将确诊肝性脑病的临床确诊病例41例(其中以2期病例为主),分为治疗组21例"和对照组20例,治疗组以去除诱因,控制感染、治疗上消化道出血、纠正水电解质紊乱及酸碱失衡等的基础上,予以门冬氨酸鸟氨酸静脉注射7天,并以联合乳果糖灌肠。结果:两组患者经过1周治疗,治疗组总有效率为87.0%;对照组总有效率为70.0%。两组总有效率比较,差异有显著性意义(x2=7.29,P<0.01)。两组治疗前后生化检验结果,治疗后均优于治疗前,但治疗组效果更明显。结论:去除诱因联合门冬氨酸鸟氨酸静脉注射及乳果糖灌肠对肝性脑病治疗疗效较好。
OBJECTIVE: To discuss the effects of intravenous injection of ornithine ornithine as an inducer and lactulose enema. Methods: Forty-one cases of clinically diagnosed hepatic encephalopathy were diagnosed. Among them, 21 cases were treated in the treatment group and 20 cases in the control group. The treatment group was to remove the predisposition, control the infection and treat the upper gastrointestinal tract Bleeding, correct water and electrolyte imbalance and acid-base imbalance on the basis of aspartate ornithine intravenous injection for 7 days, combined with lactulose enema.Results: The two groups of patients after a week of treatment, the total effective rate of the treatment group (87.0%). The total effective rate in the control group was 70.0% .The total effective rate in both groups was significantly different (x2 = 7.29, P <0.01) .The biochemical test results before and after treatment in both groups were better than those before treatment , But the effect was more obvious in the treatment group.Conclusion: The removal of triggers aspartate ornithine intravenous injection and lactulose enema treatment of hepatic encephalopathy better effect.