清洁灌肠可以治疗肝性脑病(PSE)。但缺乏与酸化灌肠剂的对照试验。作者进行随机双盲对照试验,对45例急性 PSE 患者作酸化(双糖)与非酸化(自来水)灌肠剂对照。方法自来水灌肠5例,平均 pH 为5.9±0.9;20%乳糖灌肠18例,平均 pH 为5.6±0.7;20%乳糖醇灌肠22例,平均 pH 为5.5±0.2。治疗前后测 Cleansing enema can treat hepatic encephalopathy (PSE). However, there is a lack of controlled trials with acidified enemas. The authors conducted a randomized, double-blind, controlled trial of acidified (disaccharides) versus non-acidified (tap water) enema controls in 45 patients with acute PSE. Methods Five cases of tap water enema with an average pH of 5.9 ± 0.9; 18 cases of 20% lactose enema with an average pH of 5.6 ± 0.7; 22 cases of 20% lactitol enema with an average pH of 5.5 ± 0.2. Before and after treatment