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目的:提高重型肝炎的临床疗效。方法:用虎杖、白芨、牡蛎等为主方加减,制成微酸性灌肠液,在常规综合治疗基础上,对治疗组22例病人进行灌肠治疗,1～2次/日,连续4周,对照组22例只采用常规综合治疗。结果:两组患者治疗后NH_3、TBil等指标下降幅度具有显著差异(P<0.05),治疗组治愈4例,好转8例,治愈好转率54.5％,肝性脑病、感染发生率分别为18％、9％;对照组治愈1例,好转6例,治愈好转率31.8%,肝性脑病、感染发生率为45.5％、36.3％。结论:中草药灌肠辅助治疗重型肝炎,可提高重型肝炎的临床治愈好转率。
Objective: To improve the clinical efficacy of severe hepatitis. Method: Addition and subtraction with Polygonum cuspidatum, Bletilla striata, oyster and other main prescriptions made of slightly acidic enema, on the basis of conventional comprehensive treatment, 22 patients in the treatment group were treated with enema for 1 ~ 2 times / day for 4 weeks, Control group, only 22 cases using conventional comprehensive treatment. Results: There was a significant difference (P <0.05) in the decrease of NH_3 and TBil between the two groups after treatment. In the treatment group, 4 cases were cured, 8 cases improved, the cure rate was 54.5%, and the incidence of hepatic encephalopathy was 18% , 9%. The control group was cured in 1 case, improved in 6 cases, the cure rate was 31.8%, hepatic encephalopathy, the incidence of infection was 45.5%, 36.3%. Conclusion: Chinese herbal enema adjuvant treatment of severe hepatitis can improve the cure rate of severe hepatitis.