期刊文献+

76例肝性脑病的治疗体会 被引量:1

THERAPY OF 76 CASES OF HEPATIC ENCEPHALOPATHY
暂未订购
导出
摘要 目的观察不同方案对肝性脑病的治疗效果,为选择治疗方案提供参考。方法选择2005年2月~2009年2月消化内科住院的76例肝性脑病患者,全部在采用西医基本治疗上,其中A组(25例)加用纳洛酮予改善神经递质,B组(24例)加用门冬氨酸鸟氨酸予促进氨的代谢,C组(27例)采取中西医结合的综合治疗方法,比较3组患者治疗前后症状体征、肝功变化、血氨等。结果中西医结合治疗组可明显改善患者的症状体征,降低血清转氨酶、胆红素及血氨水平,提高总有效率,降低死亡率。结论肝性脑病采取中西医结合疗法治疗,可明显提高疗效及促进临床症状的缓解,在未找出对肝性脑病更富有成效的治疗方法之前,中西医结合疗法可作为临床医师优先选择的治疗方案。
出处 《现代医院》 2010年第3期39-40,共2页 Modern Hospitals
  • 相关文献

参考文献10

  • 1BUTTERWORTH R F. Hepatic encephalopathy:a neuropsychiatric disorder involving multiple ncurotransmitter systems[ J]. Curr Opin Neuro,2000,13:721 -727.
  • 2陈灏珠,戴自英,林果为,等.实用内科学[M].12版.北京:人民卫生出版社,2005.1333—1336.
  • 3张晶,王建祯,吴静.肝性脑病联合治疗观察[J].中国实用神经疾病杂志,2007,10(3):137-138. 被引量:2
  • 4WOODHAMS B, GIRARDOT O, BLANCO M, et al. Stability of coagulation proteins in frozen plasma[ J]. Blood Coagul Fibrinlysis, 2001,12(4) :229-236.
  • 5刘厚钰,石虹.肝性脑病(一)[J].胃肠病学,2002,7(6):381-383. 被引量:12
  • 6BUTTERWORTH R F. Hepatic encephalopathy : a neuropsychiatric disorder involving multiple neurotransmitter systems[ J ]. Curr Opin Neurol,2000,13 (6) :721 - 727.
  • 7C J RESA B,K OPPONGA C,H Al MMARDINIA d,et al. Effect of L - omithine - L - aspartata on patients with and without TIPS undergoing glutamine challenge a double blind, placbo controlled trial[ J]. Gut,2004,47 (10) :571 - 574.
  • 8陈礼宏,李德辉.门冬氨酸鸟氨酸治疗肝性脑病51例[J].实用医学杂志,2009,25(10):1686-1687. 被引量:15
  • 9郑春晓,甘艳心,黄斯英.肝衰竭患者的营养支持[J].实用医学杂志,2008,24(14):2534-2536. 被引量:13
  • 10齐瑞兆,李志伟,刘振文,纪旭,张佳斌,毕振华.应用MELD评分系统对187例肝硬化死亡患者的分析[J].实用医学杂志,2008,24(11):1923-1925. 被引量:4

二级参考文献45

共引文献525

同被引文献16

  • 1刘峰,周艳,邓向辉.32例酒精性抑郁患者的临床资料分析[J].四川精神卫生,2007,20(4):242-243. 被引量:3
  • 2Mellisa Hall. Alcoholism & depression [ J ]. Home Healthcare Nurse, 2012,30(9) :543-550.
  • 3Conner K R, Pinquart M, Gamble S A. Meta - analysis of depression and substance use among individuals with alcohol use disorders [ J ]. Substance Abuse Treatment,2009,37 ( 2 ) : 127-137.
  • 4Epstein J F, Induni M, Wilson T. Patterns of clinically significant symptoms of depression among heavy users of alcohol and cigarettes[ J ]. Preventing Chronic Disease, 2009,6 ( 1 ) : 109.
  • 5Mellisa Hall. Alcoholism depression [ J ]. Home Healthcare Nurse,2012, 30(9) :543-550.
  • 6Moonat S, Starkman B G, Sakharkar A, et al. Neuroscience of alcoholism:Molecular and cellular mechanisms[ J]. Cellular and Molecular Life Sciences ,2009,67( 1 ) :73-88.
  • 7Murphy J M, Gilman S E, Lesage A, et al. Time trends in mortality asso- ciated with depression:Findings from the Stirling Count study [ J ]. Canadian Journal of Psychiatry,2010,55 ( 12 ) :776-783.
  • 8Lamers F, Jonkers C C, Bosma H, et al. A minimal psychological intervention in chronically ill elderly patients with depression : A randomized trial [ J ]. Psychotherapy and Psychosomatics ,2010,79 (4) : 217-226.
  • 9Verrill C, Markham H, Templeton A, et al. Alcohol - related cirrhosis: Early abstinence is a key factor in prognosis, even in the most severe cases [ J ]. Addiction,2009,104 ( 5 ) : 768-774.
  • 10Sargent S. Hepatic encephalopathy [ J ]. British Journal of Nursing, 2007,16(6) : 335-339.

引证文献1

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部