双黄液保留灌肠对肝硬化合并肝性脑病患者血氨水平的影响观察

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1、目录中文摘要···················································3英文摘要···················································4引言··················································6正文···················································71.临床资料···································

2、················71.1一般资料··················································71.2患者选择的诊断、纳入及排除标准··························71.2.1诊断标准·················································71.2.2病例纳入标准··········································81.2.3排除标准····················

3、··························81.2.4病例的别除和脱落及中止试验标准··························91.2.5病例分组··············································92.治疗方法·················································92.1对照组·················································92.2治疗组··············

4、···································93.1观察项目、疗效标准及统计学方法····························103.1观察项目················································103.2疗效评定标准··········································113.3统计学方法············································114.治疗结果········

5、·········································114.1两组患者治疗前后症状体征变化的比较····················114.2两组患者治疗前后部分实验室检查指标的比较··············124.3两组患者治疗后两组患者治疗后完全清醒时间及死亡率比较·····124.4两组患者治疗后疗效比较··································124.5安全性观测及不良反应····································131

6、5.分析与讨论················································135.1现代医学对肝性脑病的认识·································135.1.1血氨在肝性脑病中的作用··································135.1.2氨中毒学说··············································135.1.3血氨升高的机理·································

7、·········145.1.4氨的毒性作用············································155.1.2现代医学对肝性脑病的治疗·······························155.2祖国医学对肝性脑病的认识·································165.3治则治法·················································195.4组方依据及原则··························

8、·················206.问题与展望·················································23结论··················································25参考文献·······························