肝性脑病病人食醋保留灌肠方法研究  

Study on Vinegar Retention-enema in Hepatic Encephalopathy Patients

作　　者：楚秀菊 高凤菊[1] 周荣[1] 邢爱静 陈翠云[1] 

机构地区：[1]济宁市传染病医院护理部,山东济宁272137

出　　处：《护理学杂志（综合版）》2003年第3期197-198,共2页Journal of Nursing Science

摘　　要：目的探讨肝性脑病病人食醋保留灌肠的最佳方法。方法将 12 3例肝性脑病病人随机分为 6组 ,1、2、3组分别采用 2 0 %、30 %、4 0 %的食醋灌肠液 30 0ml,用普通保留灌肠法 (普通法 )灌肠 ,连续 7d ;4、5、6组采用食醋浓度、剂量分别同 1、2、3组 ,用点滴保留灌肠法 (点滴法 )灌肠 ,连续 7d。结果灌肠后血氨水平及肠道 pH值均较灌肠前明显下降 (P <0 .0 1) ;使用同一方法灌肠时 ,30 %与 4 0 %食醋作用基本相同 ,且均优于 2 0 %食醋 ;使用同一浓度食醋灌肠时 ,点滴法优于普通法。结论采用 30 %食醋 30Objective To investigate the optimal concentration, method of vinegar retention enema in hepatic encephalopathy patients. Methods One hundred and twenty three cases of hepatic encephalopathy patients were randomly divided into 6 groups: groups 1, 2 and 3 subject to routine retention enema with concentrations of vinegar enema solution (300 ml) being 20%, 30% and 40% respectively for 7 days, while groups 4, 5 and 6 subject to dropping retention enema for 7 days with the same concentrations and dosages of vinegar enema solution as groups 1, 2 and 3. Results After retention enema, the blood ammonia levels and pH values in all cases were obviously decreased as compared with those before retention enema ( P <0.01). After retention enema, the blood ammonia levels and enteric pH values in the dropping retention enema group were lower than in the routine retention enema group ( P < 0.01). Conclusion 30% vinegar 300 ml for dropping retention enema can obtain satisfactory effectiveness in the treatment of hepatic encephalopathy.

关 键 词：肝性脑病 保留灌肠 食醋 数据收集 

分 类 号：R747.9[医药卫生—神经病学与精神病学]