【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 30 0ml行点滴保留灌肠法灌肠治疗重症肝炎合并肝性脑病疗效较好更多还原

【Abstract】 Objective 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.更多还原