The clinical study on enema treatment using Shijunmuli decoction for chronic liver failure combined with hepatic encephalopathy
Objective:To observe the clinical effect of enema treatment using Shijunmuli decoction for chronic liver failure(dampness-heat stasis syndrome)combined with hepatic encephalopathy.Methods:A total of 74 patients with chronic liver failure combined with HE(damp-heat accumulation syndrome)were included and divided into a treatment group(37 cases)and a control group(37 cases)by random number method.Both groups were given basic western medicine treatment,and the treatment group was given Shijunmuli decoction clyster,the control group was given lactulose solution clyster,and the treatment cycle was 4 weeks.After 4 weeks of treatment,the clinical efficacy,laboratory indexes,and traditional Chinese medicine symptom scores of the two groups were evaluated.Results:After 4 weeks of treatment,the clinical effective rate of HE in the treatment group was 87%,and the clinical effective rate of HE in the control group was 73%.The curative effect of the treatment group was better than that of the control group,with statistical significance(P<0.05).TBil,ALT,AST,Alb,blood ammonia in the treatment group was improved compared with that before treatment(P<0.05).ALT,AST,blood ammonia in the control group was improved compared with that before treatment(P<0.05),and the curative effect of the treatment group was better than that of the control group,with statistical significance(P<0.05).The PT,PTA in the treatment group and the control group was improved compared with that before treatment,with statistical significance(P<0.05).The scores of middle symptom in both the treatment group and the control group were lower than those before treatment,and the curative effect of the treatment group was better than that of the control group,with statistical significance(P<0.05).Conclusion:Shijunmuli decoction clyster combined with western medicine basic therapy in the treatment of chronic liver failure with hepatic encephalopathy can improve the clinical effective rate,improve the liver function,kidney function and prothrombin,and the curative effect is better than the lactulose solution clyster group,and has achieved good clinical curative effect in clinical application.Shijunmuli decoction clyster combined with basic western medicine therapy in the treatment of chronic liver failure with hepatic encephalopathy(damp-heat accumulation syndrome)can improve the symptoms of traditional Chinese medicine,and the curative effect is better than the lactulose solution clyster group.
Shijunmuli decoctionChinese medicine clysterchronic liver failurehepatic encephalopathylactulosedamp-heat accumulation syndrome