作者对38例有慢性门体分流性脑病(PSE)的肝硬化患者,用随机双盲法进行乳果糖(Lactulose)与新霉素的疗效比较。病例是慢性进行性或复发性PSE,作过或未作过门腔静脉吻合术,具有意识障碍、扑翼样震颤、脑电图呈异常慢波、血氨水平升高等征象,且需限制饮食中的蛋白质和使用新霉素等抗菌素治疗 The authors compared the efficacy of Lactulose versus neomycin in a randomized double-blind trial of 38 patients with cirrhosis of the chronic portal shunt encephalopathy (PSE). Case is chronic progressive or recurrent PSE, with or without portal venous anastomosis, with disturbance of consciousness, flapping wing-like tremor, abnormal EEG slow wave, elevated blood ammonia levels and other signs, and the need to limit the diet The protein and the use of neomycin and other antibiotics treatment