食醋保留灌肠联合东莨菪碱治疗肝性脑病的研究

摘要

目的 分析食醋保留灌肠联合东莨菪碱治疗肝性脑病患者的临床疗效.方法 选择在本院接受住院治疗的肝性脑病患者作为研究对象,分别接受单纯东莨菪碱(对照组)及食醋保留灌肠联合东莨菪碱治疗(观察组),比较两组治疗效果及血氨、MDA、SOD水平差异.结果 观察组患者治疗有效率(94.9％)明显高于对照组;血氨水平[(211.4±32.2)μmol/L]、MDA水平[(4.4±0.8)μmol/L]明显低于对照组,SOD水平[(47.3±8.6) U/mg]明显高于对照组(P＜0.05).结论 食醋保留灌肠联合东莨菪碱可以有效提高肝性脑病患者的治疗效果,降低血氨水平.%Objective To analyze the clinical efficacy of vinegar retention enema combined with scopolamine in the treatment of hepatic encephalopathy.Methods Patients with hepatic encephalopathy in our hospital were selected as research subjects,they received either the treatment of scopolamine alone or vinegar enema combined with scopolamine.Treatment effects,ammonia and MDA,SOD levels were compared between two groups.Results The efficiency was 94.9％,SOD level was (47.3 ± 8.6) U/mg in the observation group,significantly higher than those in the control group.Ammonia level was (211.4 ± 32.2) μ mol/L,MDA level was (4.4-± 0.8) μ mol/L,significantly lower than those in the control group (P ＜ 0.05).Conclusion Vinegar retention enema combined with scopolamine in the treatment of hepatic encephalopathy can effectively improve the outcomes of patients,and reduce their blood ammonia level.