结肠途径灌洗机配合中药在重症肝炎合并自发性腹膜炎中的应用  

Clinical Use of Colontherapy System Combined with Chinese Medicines in Fulminant Hepatitis Associated with Spontaneous Bacterial Peritonitis

作　　者：吴亮[1] 王颖[2] 张振刚[1] 田德英[1] 

机构地区：[1]华中科技大学附属同济医院感染科,武汉430030 [2]华中科技大学附属同济医院消化内科,武汉430030

出　　处：《中国康复》2006年第5期326-328,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察结肠途径灌洗机配合中药灌肠治疗重症肝炎合并自发性腹膜炎的临床疗效。方法:114例重症肝炎患者分为观察组64例和对照组50例,均采用常规综合治疗,观察组配合结肠途径灌洗机联合中药灌肠治疗。治疗前后检测血清肝功能、血氨等生化指标,并观察腹痛、腹胀、腹水等临床症状的改善情况。结果:治疗12周后观察组患者肝功能的恢复程度和血氨等指标下降幅度均好于对照组,且临床症状改善较对照组显著(P<0.05);治疗中无明显副作用。结论:结肠途径灌洗机配合中药灌肠治疗重症肝炎合并自发性腹膜炎安全,且能明显提高临床疗效。Objective.. To observe the efficiency and safety of colontherapy system combined with Chinese medicines in the treatment of fulminant hepatitis associated with spontaneous bacterial peritonitis （SBP）. Methods： 114 cases of fulminant hepatitis associated with SBP were randomly divided into two groups： therapy group （64 cases） was treated with colontherapy system and retention enema; and control group was only treated with retention enema. The liver function, blood ammonia levels, abdominal pain, abdominal distention and ascites were observed pre- and post-treatment. Results： After treatment for 12 weeks, the liver function was improved and the blood ammonia level reduced in therapy group as compared with control group. The improvement of clinical symptoms of SBP was more significant in therapy group than in control group. No side effects were observed. Conclusion： Colontherapy System plus Chinese medicine retention enema was safe and effective to treat fulminant hepatitis associated with SBP.

关 键 词：结肠途径治疗机 重症肝炎 自发性腹膜炎 中药保留灌肠 

分 类 号：R575.1[医药卫生—消化系统]