上清下通中运法治疗隐匿性肝性脑病30例  

The Clinical Therapeutic Effect of Method of Clearing Brain Orifices as well as Purging and Transporting in Middle-jiao on Occult Hepatic Encephalopathy for 30 Cases

作　　者：张金付[1] 陈翠玲[1] 田荣茂 李海鸥[1] 唐红[1] 叶敏贞[1] 刘淑明[1] 

机构地区：[1]福建中医药大学附属三明市中西医结合医院肝病科,三明365001

出　　处：《中国中医药现代远程教育》2015年第19期60-62,共3页Chinese Medicine Modern Distance Education of China

基　　金：福建省三明市科技局科学研究项目(No:2013-S-5)

摘　　要：目的观察上清下通中运法治疗隐匿性肝性脑病临床疗效。方法 60例隐匿性肝性脑病患者,随机分成治疗组和对照组两组,两组均予包括门冬氨酸鸟氨酸降血氨在内的基础治疗,治疗组30例患者加用上清下通中运方。结果比较治疗组和对照组的治疗后的NCT-A、DST、血氨,P值<0.01,有统计学意义。在改善肝功能方面(ALT、ALB、TB),治疗组优于对照组,三者P值均<0.01。结论上清下通中运法治疗隐匿性肝性脑病疗效好,优于单用门冬氨酸鸟氨酸。Objective To observe clinical therapeutic effect of method of clearing brain orifices as well as purging and transporting in middle-jiao in treating occult hepatic encephalopathy. Methods 60 cases of patients with occult hepatic encephalopathy were randomly divided into treatment group and control group. The two groups were treated with the conventional therapy including reducing blood ammonia with Ornithine Aspartate. Patients in the treatment group used additionally the clearing brain orifices as well as purging and transporting in middle-jiao decoction. Results After 7 days＇ treatment, the blood ammonia, NCT-A and DST of the two groups had significant difference between（ P〈0.01）. The improvement liver function of ALT, ALB and TB of the treatment group were superior to the control group（P〈0.01）. Conclusion The method of clearing brain orifices as well as purging and transporting in middle-jiao in treating occult hepatic encephalopathy has good effect, and is better than single Ornithine Aspartate.

关 键 词：上清下通中运法 隐匿性肝性脑病 门冬氨酸鸟氨酸 

分 类 号：R259[医药卫生—中西医结合]