鼻饲通腑泻热合剂治疗肝硬化上消化道出血后肝昏迷患者20例  

Futong Xiere Formula Through Nasal Feeding for Treating 20 Cases with Hepatic Coma Due to Cirrhosis of Liver and Upper Gastrointestinal Bleeding

作　　者：袁超 吴文平 

机构地区：[1]西安市中医医院肝病科,陕西西安710021

出　　处：《南京中医药大学学报》2016年第6期598-600,共3页Journal of Nanjing University of Traditional Chinese Medicine

摘　　要：目的观察黄保中名老中医经验方通腑泻热合剂经鼻饲途径治疗肝硬化上消化道出血后肝昏迷（HE）的临床疗效。方法将我院2007年8月至2015年12月收治的40例肝硬化失代偿期并上消化道出血、肝昏迷患者作为研究对象,随机分为观察组与对照组各20例,对照组实施止血、抗肝昏迷、保肝、支持等西医常规治疗,观察组在对照组治疗基础上,鼻饲给予通腑泻热合剂。对2组患者进行疗效分析,并比较住院时间、治疗费用的差异。结果观察组总有效率90%,对照组总有效率60%;观察组可有效降低总胆红素、血氨水平,疗效优于对照组（P〈0.05）。观察组能减少住院天数及住院费用,优于对照组（P〈0.05-0.01）。结论在抢救肝硬化上消化道出血导致昏迷的患者时,结合中医辨证,给予鼻饲中药,可促进止血及改善肝昏迷,增加疗效。OBJECTIVE To observe the clinical effects of Futong Xiere Formula from professor Huang Bao-zhong,a distinguished veteran doctors of TCM,in treating hepatic coma due to cirrhosis of liver and upper gastrointestinal bleeding through nasal feeding.METHODS 40 cases diagnosed with decompensated liver cirrhosis combined with upper gastrointestinal bleeding and hepatic coma in our hospital were collected from August,2007 to December,2012 and divided into observation group and treatment group,with 20 cases in each group.Patients in the control group were given conventional treatment including stopping bleeding,resisting hepatic coma,protecting liver and supporting therapy.Based on this,patients in the observation group were further given Futong Xiere Formula through nasal feeding.Then the clinical effects were analyzed between the two groups,together with hospitalization time and costs.RESULTS The total curative rate was 90%in the observation group and60%in the control group.The observation group was superior to the control group in reducing total bilirubin and blood ammonia level（P〈0.05）.CONCLUSION Conventional treatment combined with herbal therapy through nasal feeding based on syndrome differentiation can efficiently stop bleeding,improve coma condition and enhance the results.

关 键 词：肝硬化/肝昏迷 中医治疗 鼻饲 黄保中 

分 类 号：R256.42[医药卫生—中医内科学]