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自拟灌肠汤治疗术后黏连性肠梗阻 被引量:2

Enema decoction treatment of postoperative adhesion ileus
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摘要 目的观察自拟灌肠汤对治疗术后黏连性肠梗阻的临床疗效。方法选取由我院肛肠科收治的黏连性肠梗阻手术患者40例,随机分成2组,对照组20例,治疗组20例。对照组给予胃肠减压,维持水、电解质和酸碱平衡,使用抗生素等西医常规疗法;治疗组在常规治疗的基础上,给予自拟灌肠汤150 m L保留灌肠,早晚各1次,至患者恢复排气为1个疗程。观察2组患者恢复排气、胃管拔除及恢复正常饮食时间,比较入院后第2、4、6天中医临床症状和体征。结果治疗组患者恢复排气的平均时间(38.86±18.76)h较对照组(59.24±24.33)h明显提前,差异具有统计学意义(P<0.05);治疗组患者拔除胃管的平均时间(4.36±1.78)d较对照组(5.34±2.05)d有所提前,差异具有统计学意义(P<0.05);治疗组患者恢复正常饮食平均时间(4.27±1.24)d较对照组(5.75±1.58)d有所提前,差异具有统计学意义(P<0.05);入院后第4、6天治疗组患者的中医临床症状、体征评分较对照组明显降低,有统计学意义(P<0.05)。结论自拟灌肠汤能使术后黏连性肠梗阻患者恢复排气时间、胃管拔除时间、恢复正常饮食时间明显提前;自拟灌肠汤能够明显改善术后黏连性肠梗阻患者的中医临床症状和体征。 Objective To observe the clinical efficacy of postoperative adhesions ileus decoction enema. Methods Admitted to our hospital surgery met the inclusion criteria of patients with adhesive intestinal surgery 40 patients were randomly divided into two groups,each of 20 cases. Control group of 20 patients received continuous decompression,maintain water,electrolyte and acid-base balance,the use of antibiotics and other conventional therapies; 20 cases treated on the basis of conventional treatment,giving enemas soup 150 m L,enema twice a day to patients recover exhaust as a course. Recovery were observed exhaust tube disconnect and resume a normal diet and time of TCM clinical symptoms after admission 2,4,6 days,signs scores were compared. Results Treated patients recover exhaust the average time( 38. 86 ± 18. 76) h than the control group( 59. 24 ± 24. 33) h significant advance( P〈 0. 05),with statistical significance; patients treated unplug the average tube time( 4. 36 ± 1. 78) d than the control group( 5. 34 ± 2. 05) d in advance( P〈 0. 05),with statistical significance; patients treated with the average time to resume normal diet( 4. 27 ±1. 24) d than the control group( 5. 75 ± 1. 58) d in advance; after admission clinical medicine first day in patients treated with 4,6 signs score was significantly lower than the control group( P〈 0. 05),there are significant differences.Conclusion A self-made sausage soup makes the stomach in patients with intestinal obstruction after disconnecting time,recovery exhaust time,recovery time was significantly ahead of normal diet,shortened hospital stay; Enema prescription can significantly improve postoperative intestinal obstruction in patients with clinical symptoms and signs of traditional Chinese medicine.
作者 霍巨
出处 《吉林中医药》 2015年第2期161-164,共4页 Jilin Journal of Chinese Medicine
基金 辽宁省百千万人才资助项目(2012921014) 辽宁省公益基金项目(2013001001)
关键词 肠梗阻 黏连性 自拟灌肠汤 胃肠功能 intestinal obstruction adhesion enema prescription gastrointestinal function
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