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目的:分析探讨清肠合剂与醒脑静联合治疗肝性脑病的疗效。方法:选取我院2007年6月~2015年12月的73例肝性脑病患者随机(随机数字法)分成两组,所有患者均进行基础的西医综合治疗,治疗组患者给予清肠合剂(生大黄、石菖蒲、乌梅各30g,生枳壳15g,锡类散6g)直肠灌肠加醒脑静静滴治疗,对照组给予乳果糖治疗,对比两组患者治疗前后精神意识、智力(数字连接试验)、血氨等变化情况以及临床的效果。结果:治疗组用药后清醒时间平均为(18.62±6.57)小时,对照组为(24.15±7.83)小时,治疗组患者清醒时间比对照组快(P=0.0016);治疗前两组患者ALB与TBil无统计学差异,两组患者治疗后ALB与TBil与治疗前的ALB与TBil相比明显降低,治疗组患者经过治疗的TBil结果明显低于对照组患者经过治疗的TBil结果,统计学上有意义(P<0.05);治疗组治疗后患者智力、血氨浓度及临床疗效都比对照组治疗后患者智力、血氨浓度及临床疗效明显改善,统计学上有意义(P均<0.05)。结论:清肠合剂联合醒脑静治疗肝性脑病疗效确切,可有效改善肝性脑病患者病情,缩短昏迷时间,值得临床大力推广使用。
Objective: To analyze the curative effect of Qing Chang Mixture combined with Xingnaojing on hepatic encephalopathy. Methods: Seventy-three patients with hepatic encephalopathy in our hospital from June 2007 to December 2015 were randomly divided into two groups. All patients underwent basic western medicine treatment. The patients in the treatment group were treated with Qingchang Mixture Rhubarb, Shichangpu, plum each 30g, Citrus aurantium 15g, tin scattered 6g) rectal enema plus refreshing intravenous treatment, the control group given lactulose treatment, the two groups were compared before and after treatment of mental consciousness, intelligence (digital connection test ), Blood ammonia and other changes as well as the clinical effect. Results: The mean awake time of the treatment group was (18.62 ± 6.57) hours and the control group was (24.15 ± 7.83) hours, and the awake time of the treatment group was faster than that of the control group (P = 0.0016) There was no significant difference between the two groups of patients treated with ALB and TBil and pre-treatment ALB and TBil significantly reduced the treatment group patients treated TBil results were significantly lower than the control group after treatment of TBil results were statistically significant (P <0.05). After treatment, the intelligence, blood ammonia concentration and clinical efficacy of the patients in the treatment group were significantly better than those in the control group after treatment (P <0.05). Conclusion: Qingchang mixture combined with Xingnaojing is effective in treating hepatic encephalopathy, which can effectively improve the condition of patients with hepatic encephalopathy and shorten the coma time, so it is worth to be widely used clinically.