摘 要:目的 探讨乳果糖保留灌肠方法对肝性脑病患者的临床疗效.方法 将68例肝硬化肝性脑病患者随机分为A、B两组,A组采用普通保留灌肠法,B组采用输注保留灌肠法,接受乳果糖保留灌肠后,均先左侧卧位,再抬高臀部右侧卧位,连续5 d,治疗1 w,观察临床疗效.结果 输注法保留灌肠药液在肠道内保留时间较普通法长,且患者意识好转及血氨水平下降程度均优于普通保留灌肠法.结论 采用乳果糖输注保留灌肠治疗肝性脑病疗效好.
Abstract:
Objective Analysisthe effect of lactulose different retention enema method with hepatic encephalophathy in liver cirrhosis.Methods 68 different case of liver cirrhosis patients with hepatic encephanlophthy were randomly divided into group A(n=32)and group B(n=36).A group were used lectulose by ordinary retention enema method,two times/day for five days.B group were used lactulose by infusion retention enema methods,two times/day for a week blood ammouia was test,the clinic effect of hepatic encophalopatay was observed.Results The time in intestinal tract in group B was longer,the consciousness of patents was better,the descend degree of blood ammonia was lower than those in group A.Conclusion The method of using lactalose infusion retention enema hepatic encephalopathy in live cirrhosis was better than the method of ordinary retention enema. |