星蒌承气汤治疗肝性脑病31例  

Treatment of 31 Hepatic Encephalopathy Cases with Xinglou Chengqi Decoction

作　　者：杨文聪[1] 苏惠霞[1] 

机构地区：[1]中山市中医院,广东中山528401

出　　处：《现代中医药》2017年第2期19-21,共3页Modern Chinese Medicine

摘　　要：目的观察星蒌承气汤经结肠途径治疗在治疗肝性脑病中的临床效果。方法将60例肝性脑病证属痰热蒙窍的病人按随机方法分为两组,对照组予以常规抗肝昏迷治疗,治疗组在对照组的基础上予以星蒌承气汤经结肠途径给药治疗,对比两组病人治疗前后清醒时间、谷丙转氨酶、血氨、总胆红素水平及治疗总有效率。结果两组患者清醒时间、谷丙转氨酶、血氨、总胆红素治疗后比治疗前有明显好转(P<0.05),治疗组比对照组改善更为明显(P<0.05);治疗组的治疗总有效率显著高于对照组(P<0.05)。结论星蒌承气汤经结肠途径给药结合治疗可明显改善肝性脑病病人的生化指标,缩短清醒时间,疗效确切,值得推广应用。Objective： To observe the clinical curative effect of colon hydrotherapy of Xinglou Chengqi Decoction on hepatic encephalopathy patients. Methods： Totally 60 cases of hepatic encephalopathy patients, classified into the syndrome of phlegm and heat occluding the orifices in TCM, were randomly divided into two groups. The control group was treated by the conventional therapy against hepatic coma, while the treatment group was cured by combining the con- ventional therapy and colon hydrotherapy of Xinglou Chengqi Decoction; the awakening time and the levels of glutamic pyruvic transaminase, blood ammonia as well as total bilirubin before and after treatment, and the overall effective rates of the two groups were compared in the process. Results： The awakening time and the levels of glutamic pyruvic transaminase, blood ammonia as well as total bilirubin after treatment were remarkably better than those indexes before treatment （P〈0.05）, but the conditions in treatment group improved more significantly than the control group （P〈0.05） ; the overall effective rate of the treatment group was markedly higher than that of the control group （ P 〈 0. 05 ）. Conclusion： The combination of the conventional therapy and colon hydrotherapy of Xinglou Cbengqi Decoction can strikingly optimize the biochemical indicator of hepatic encephalopathy patients, and the patients＇ awakening time and therapeutic effect are accurate, worthy of promotion.

关 键 词：肝性脑病 结肠水疗 星蒌承气汤 

分 类 号：R575.3[医药卫生—消化系统]